Awareness : Did You Know? 2015-2016

Did You Know? Weekly Educational Series 54

The following LCD revisions are effective for services rendered on or after January 1, 2017. The LCDs are available through the CMS Medicare coverage database.

Coding guidelines for an LCD (when present) may be found by selecting “Attachments” in the “Section Navigation” drop-down menu at the top of the LCD page.

Procedure codes have been added, revised, replaced and deleted. The following is a list of the impacted LCDs.

Part A/B Combined LCDs

  • L33268 - Bendamustine hydrochloride (Treanda®, Bendeka ™ )
  • L36393 - Controlled Substance Monitoring and Drugs of Abuse Testing
  • L36276 - Erythropoiesis Stimulating Agents
  • L33997 - Fluorescein Angiography
  • L33684 - Hemophilia Clotting Factors
  • L33704 - Infliximab (Remicade™)
  • L36773 - Intensity Modulated Radiation Therapy (IMRT) (Coding Guidelines only)
  • L34006 - Interspinous Process Decompression
  • L33727 - Irinotecan
  • L33382 - Lumbar Spinal Fusion for Instability and Degenerative Disc Conditions
  • L33594 - Manipulation Under Anesthesia (MUA)
  • L34519 - Molecular Pathology Procedures
  • L33595 - Monitored Anesthesia Care (MAC) for Certain Interventional Pain Management Services
  • L33777 - Noncovered Services
  • L33693 - Non-Invasive Evaluation of Extremity Veins
  • L33695 - Non-invasive Extracranial Arterial Studies
  • L33252 - Psychiatric Diagnostic Evaluation and Psychotherapy Services
  • L33745 - Respiratory Therapeutic Services (Coding Guidelines only)
  • L36342 - Screening and Diagnostic Mammography
  • L33413 - Therapy and Rehabilitation Services
  • L33762 - Treatment of varicose veins of the lower extremity
  • L33767 - Viscosupplementation Therapy For Knee
  • L33566 - Wound Debridement Services (Coding Guidelines only)

Part B only LCDS

  • L33903 - Diagnostic Laryngoscopy
  • L33906 - Epidural
  • L33834 - Health and Behavior Assessment/Intervention
  • L33910 - Independent Diagnostic Testing Facility (IDTF) (Coding Guideline only)
  • L33911 - Indocyanine - Green Angiography
  • L33919 - Macugen (pegaptanib sodium injection) (Coding Guidelines only)