Local Coverage Determinations | CMS
Feb 3, 2025 · What is an LCD? Local coverage determinations (LCDS) are defined in Section 1869 (f) (2) (B) of the Social Security Act (the Act).
Medicare Coverage Determination Process | CMS
In the absence of a national coverage policy, an item or service may be covered at the discretion of the Medicare contractors based on a local coverage determination (LCD).
Local Coverage Determination Process and Timeline | CMS
Sep 10, 2024 · An LCD, as defined in §1869 (f) (2) (B) of the Act, is a determination by a Medicare Administrative Contractor (MAC) regarding whether or not a particular item or …
The NCD and LCD policies list which ICD-10 codes support medical necessity. You can find the NCD and LCD policies by visiting: https://www.cms.gov/medicare-coverage …
The LCD reconsideration process is a mechanism by which a beneficiary or stakeholder (including a medical professional society or physician) in the MAC’s jurisdiction can request a revision to …
MCD Search - Centers for Medicare & Medicaid Services
The Redesigned MCD Search Page lets you search on a keyword, code, or document ID
In addition to creating the term “Local Coverage Determination” (LCD), section 1869(f) of the Social Security Act creates an appeals process for an “aggrieved party” to challenge …
Wound Care - 4S-150AB - Centers for Medicare & Medicaid Services
Mar 1, 2008 · For the purposes of the related LCD, wound care is defined as care of wounds that are refractory to healing or have complicated healing cycles either because of the nature of the …
Nov 15, 2018 · The guidelines for LCD development are provided in Chapter 13 of the Medicare Program Integrity Manual. A local policy may consist of two separate, though closely related …
Local Coverage Determination Coding Guidelines LCD Title Dialysis Shunt Maintenance