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Local Coverage Determinations | CMS

    https://www.cms.gov/Medicare/Coverage/DeterminationProcess/LCDs
    Feb 17, 2023

MCD Search - Centers for Medicare & Medicaid Services

    https://www.cms.gov/medicare-coverage-database/search.aspx?from=Overview
    MACs are Medicare contractors that develop LCDs and process Medicare claims. MACs develop an LCD when there is no national coverage determination (NCD) (e.g., when an …

Medicare Coverage Determination Process | CMS

    https://www.cms.gov/Medicare/Coverage/DeterminationProcess
    Medicare coverage is limited to items and services that are reasonable and necessary for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare …

Medical Review and Education | CMS - Centers for …

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review
    Medical Review and Education. To prevent improper payments and protect the Medicare Trust Fund, Medicare contractors operate the medical review program. …

Local Coverage Determinations (LCD) challenge | Medicare

    https://www.medicare.gov/claims-appeals/local-coverage-determinations-lcd-challenge
    LCDs are decisions made by a Medicare Administrative Contractor (MAC) whether to cover a particular item or service in a MAC’s jurisdiction (region) in accordance …

Local Coverage Determinations (LCDs) - CGS Medicare

    https://www.cgsmedicare.com/jc/coverage/LCDinfo.html
    Jan 12, 2023

Local Coverage Determination (LCD) - JE Part B - Noridian

    https://med.noridianmedicare.com/web/jeb/policies/lcd
    An LCD is a determination by a Medicare Administrative Contractor (MAC) whether to cover a particular service on a MAC-wide, basis. Coverage criteria is defined …

LCD - Pain Management (L33622) - Centers for …

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33622&DocID=L33622
    42 CFR, Section 410.32, indicates that diagnostic tests may only be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and …

Medicare Coverage Guidance Documents | CMS

    https://www.cms.gov/Medicare/Coverage/DeterminationProcess/Medicare-Coverage-Guidance-Documents-
    Medicare Coverage Guidance Documents. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 requires that the Secretary make available …

LCD - Diagnostic Colonoscopy (L33671) - Centers for …

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33671&DocID=L33671
    Title XVIII of the Social Security Act, Section 1862 (a) (1) (A) states that no Medicare payment shall be made for items or services which are not reasonable and …



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