Local Coverage Determination (LCD) and Article Update History for Jurisdiction L

March 20, 2025

The following LCDs have been revised:

The following billing and coding article has been revised:

March 17, 2025

The following article which was posted for notice became effective on March 16:

February 20, 2025

The following LCD, which was posted for comment on August 29, 2024, has been posted for notice. The LCD will become effective April 06, 2025.

The following response to comments article contains summaries of all comments received and Novitas’ responses.

February 3, 2025

Please note: We have become aware that the CPT/HCPCS codes may not be appearing on the articles below. We are working to resolve the issue.

The following articles have been revised to reflect the 2025 annual CPT/HCPCS code updates effective for dates of service on and after January 1, 2025:

The following article has been revised and will become effective March 16, 2025:

The following billing and coding article has also been revised:

January 9, 2025

The following LCD, which was posted for comment on July 27, 2023, has been posted for notice. The LCD and related billing and coding article will become effective February 23, 2025.

The following response to comments article contains summaries of all comments received and Novitas’ responses.

The following LCD has been revised.

January 3, 2025

The Novitas medical policy team has evaluated all active articles for any impact in response to the 2025 annual HCPCS/CPT code update. The following is a list of the impacted articles. The revised articles will be published to the Medicare Coverage Database and on our website later this month. Please continue to watch our website for updates.

December 19, 2024

The following LCDs and related billing and coding articles have been retired:

December 2, 2024

The following LCD which was posted for notice on October 17 became effective on December 1. The related billing and coding article for this LCD is also now effective:

November 25, 2024

The comment period is now closed for the proposed LCD listed below. Comments received will be reviewed by our Contractor Medical Directors. The response to comments article will be posted to our website when the final LCD is posted for notice.

November 21, 2024

The following article has been revised and will become effective December 1:

November 14, 2024

The following LCD, which was posted for comment on April 25, has been posted for notice. The LCD and related billing and coding article will become effective February 12, 2025.

The following response to comments article contains summaries of all comments received and Novitas’ responses.

As a reminder, the comment period for the following proposed LCD is currently open and will close on November 23.  Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

November 7, 2024

The following billing and coding articles have been revised.

October 31, 2024

The following article has been revised:

October 24, 2024

The following billing and coding articles have been revised to reflect the Annual ICD-10-CM code updates effective for dates of service on and after October 1:

The following billing and coding article has been revised.

October 17, 2024

The following LCD which was posted for comment on June 6, has been posted for notice. The LCD and related billing and coding article will become effective December 1.

The following response to comments article contains summaries of all comments received and Novitas’ responses.

The following billing and coding article has been revised.

October 14, 2024

The comment period is now closed for the proposed LCD listed below. Comments received will be reviewed by our Contractor Medical Directors. The response to comments article will be posted to our website when the final LCD is posted for notice.

October 10, 2024

The following proposed LCD has been posted for comment. The comment period will end on November 23; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration. When submitting literature, you MUST submit the full-text article(s).

Submit Comments

October 3, 2024

As a reminder, the comment period for the following proposed LCD is currently open and will close on October 12. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

The following billing and coding article has been revised:

Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring (A59268)

October 1, 2024

The Novitas Medical Policy team has evaluated all active local coverage articles for any impact in response to the 2025 annual ICD-10-CM code update. The following is a list of the impacted articles. The revised articles will be published to the MCD and on the Novitas website towards the end of October. Please continue to watch our website for updates.

September 19, 2024

The following billing and coding articles have been revised:

September 3, 2024

The following article which was posted for notice on July 18 became effective on September 1:

August 29, 2024

The following proposed LCD has been posted for comment. The comment period will end on October 12; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration. When submitting literature, you MUST submit the full-text article(s).

Submit Comments

August 12, 2024

The following LCDs and related billing and coding articles which were posted for notice on June 27 became effective August 11:

August 1, 2024

The following article has been revised:

July 26, 2024

Novitas is considering all the feedback received from interested parties regarding the Genetic Testing for Oncology LCD. An extension has been granted by CMS in order for all comments to be considered thoroughly. Future updates will be published to this website and the Medicare Coverage Database. Please watch our website and consider subscribing to our mailing list for the most timely updates: Subscribe to our mailing list.

July 22, 2024

The comment period is now closed for the proposed LCD listed below. Comments received will be reviewed by our Contractor Medical Directors. The response to comments article will be posted to our website when the final LCD is posted for notice.

July 18, 2024

The following Billing and Coding articles have been revised to reflect the July 2024 CPT/HCPCS Code Quarterly updates effective for dates of service on and after July 1, 2024:

The following Article has been revised to reflect the July 2024 CPT/HCPCS Code Quarterly updates and will become effective September 1, 2024:

The comment period for the following proposed LCD will close on July 20. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

July 1, 2024

The following article which was posted for notice on May 16 became effective on June 30.

June 27, 2024

The following LCDs which were posted for comment on February 15, have been posted for notice. The LCDs and related billing and coding articles will become effective August 11. The following response to comments articles contain summaries of all comments received and Novitas’ responses.

The comment period for Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non Wound (DL39879) is currently open and will close on July 20.

If you already submitted comments for this proposed LCD, and did not receive an acknowledgement, please re-submit them so that we can make sure they are taken into consideration.

Comments may be submitted here: Submit Comments

Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

June 20, 2024

The following article has been revised:

June 13, 2024

The following article has been revised:

June 10, 2024

The comment period is now closed for the Proposed LCD listed below. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article will be posted to our website when the final LCD is posted for notice.

June 6, 2024

The following proposed LCD has been posted for comment. The comment period will end on July 20; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration. When submitting literature, you MUST submit the full-text article(s).

Submit Comments

The comment period for the following proposed LCD will close on June 8. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

The following billing and coding article has been revised:

May 30, 2024

As a reminder, the comment period for the following proposed LCD is currently open and will close on June 8. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

May 23, 2024

The following article has been revised:

As a reminder, the comment period for the following proposed LCD is currently open and will close on June 8. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

May 16, 2024

The following Article has been revised and will become effective June 30, 2024:

April 25, 2024

The following proposed LCD has been posted for comment. The comment period will end on June 8; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration. When submitting literature, you MUST submit the full-text article(s).

Submit Comments

The following billing and coding article has been revised:

April 11, 2024

The following billing and coding articles have been revised:

April 4, 2024

The following billing and coding articles have been revised:

April 1, 2024

The following Local Coverage Determination (LCD) which was posted for notice February 15, 2024, became effective March 31, 2024:

The comment period is now closed for the Proposed LCDs listed below. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles will be posted to our website when the final LCDs are posted for notice.

March 18, 2024

The following article which was posted for notice on February 1 is now effective:

As a reminder, the comment period for the following proposed LCDs is currently open and will close on March 30. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

March 7, 2024

The following billing and coding articles have been revised:

As a reminder, the comment period for the following proposed LCDs is currently open and will close on March 30. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

February 29, 2024

The following LCD has been revised:

The following billing and coding article has been revised:

February 15, 2024

The following LCD, which was posted for comment on September 28, 2023, has been posted for notice. The LCD will become effective March 31, 2024:

The following response to comments article contains summaries of all comments received and Novitas’ responses:

The following proposed LCDs have been posted for comment. The comment period will end on March 30, 2024; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration. When submitting literature you MUST submit the full-text article(s).

The following billing and coding article has been revised:

February 1, 2024

The following article has been revised to reflect the 2024 annual CPT/HCPCS code updates effective for dates of service on and after January 1, 2024 and to reflect changes that will become effective March 17, 2024:

January 29, 2024

The following LCD which was posted for notice on December 14, 2023 is now effective. The related billing and coding article for this LCD is also now effective:

January 25, 2024

The following articles have been revised to reflect the 2024 Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2024:

January 17, 2024

The following article which was posted for notice on November 30, 2023, became effective on January 14, 2024:

December 28, 2023

The following billing and coding article has been added:

The following LCD and billing and coding articles have been retired:

December 21, 2023

The following billing and coding article has been revised:

December 14, 2023

The following LCD which was posted for comment on August 3, 2023, has been posted for notice. The LCD and related billing and coding article will become effective January 28, 2024.

The following response to comments article contains summaries of all comments received and Novitas’ responses:

The following billing and coding article has been revised:

The following LCD, related billing and coding article and response to comments article have been retired:

December 11, 2023

The following LCD which was posted for notice on October 26, 2023 became effective on December 10, 2023. The related billing and coding article for this LCD is also now effective:

November 30, 2023

The following billing and coding articles have been revised:

The following Article has been revised and will become effective January 14, 2024:

November 16, 2023

The following billing and coding articles have been revised:

November 13, 2023

The comment period is now closed for the Proposed LCD listed below. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article will be posted to our website when the final LCD is posted for notice.

November 9, 2023

The following billing and coding article has been revised:

November 2, 2023

The following billing and coding articles have been revised:

The following LCD and related Billing and Coding Article have been retired:

The following Billing and Coding Article has been retired:

October 26, 2023

The following LCD posted for comment on June 1, 2023 has been posted for notice. The LCD and related Billing and Coding Article will become effective December 10, 2023.

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

As a reminder, the comment period for the following proposed LCD is currently open and will close on November 11, 2023. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

The following Billing and Coding Articles have been revised to reflect the Annual ICD-10 Code updates effective for dates of service on and after October 1, 2023:

October 19, 2023

The following LCD has been revised:

October 5, 2023

The following Local Coverage Articles have been revised:

A Document Note has been added to the following Articles:

September 29, 2023

Please note: The Skin Substitute Grafts/Cellular and/or Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers (L35041/A54117) will not become effective on 10/01/2023.

A new Proposed LCD will be published for comment and presented at an Open Meeting in the near future. 

In the meantime, current coverage has not changed. The following LCD and article remain in effect.

The Novitas Medical Policy team has evaluated all active local coverage articles for any impact in response to the 2024 annual ICD-10-CM code update. The following is a list of the impacted articles. The revised articles will be published to the MCD and on the Novitas website towards the end of October. Please continue to watch our website for updates.

September 28, 2023

The following LCD and related Billing and Coding Article, which were posted for notice on August 3, 2023, will not become effective at this time. Please refer to below NOTE:

NOTE: Please refer to the current LCD and related Article located on our website:

The following proposed LCD has been posted for comment. The comment period will end on November 11, 2023; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration.

The following billing and coding articles have been revised:

The following LCD and related Billing and Coding Article have been retired:

September 18, 2023

The comment period is now closed for the following Proposed LCD. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

September 11, 2023

The comment period is now closed for the following Proposed LCD. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

September 7, 2023

As a reminder, the comment period for the following proposed LCD is currently open and will close on September 16, 2023. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

September 5, 2023

The following article which was posted for notice on July 20, 2023, became effective on September 3, 2023:

August 31, 2023

As a reminder, the comment period for the following proposed LCD is currently open and will close on September 9, 2023. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

The following billing and coding articles have been revised:

August 17, 2023

The following LCD and related Billing and Coding Article have been retired:

August 3, 2023

The following LCD which posted for comment on April 14, 2022, and on August 11, 2022, has been posted for notice. The LCD and related Billing and Coding Article will become effective September 17, 2023.

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

The following proposed LCD has been posted for comment. The comment period will end on September 16, 2023; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration.

Submit Comments

The following Billing and Coding Articles have been revised:

July 27, 2023

The following proposed LCD has been posted for comment. The comment period will end on September 9, 2023; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration.

Submit Comments

The following Draft Billing and Coding Article is related to the above Proposed LCD.

July 20, 2023

The following Billing and Coding Articles have been revised:

The following Article has been revised to reflect the July 2023 CPT/HCPCS Code Quarterly updates and will become effective September 3, 2023:

July 17, 2023

The comment period is now closed for the following Proposed LCD. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

July 13, 2023

The following LCD and related Billing and Coding Article have been retired:

As a reminder, the comment period for the following proposed LCD is currently open and will close on July 15, 2023. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

July 6, 2023

The following LCD and related Billing and Coding Article, which was posted for Notice on June 2, 2023, will not become effective on July 17, 2023 as previously communicated. A new Proposed LCD will be published for comment and presented at an Open Meeting in the near future. Please continue to watch our website for updates.

The following LCDs will remain in effect at this time:

The following Billing and Coding Article has been revised:

As a reminder, the comment period for the following proposed LCD is currently open and will close on July 15, 2023. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

June 26, 2023

The following articles which were posted for notice on May 11, 2023 are now effective:

June 15, 2023

The following Billing and Coding Article has been revised:

The following LCD and related Billing and Coding Article have been retired:

June 12, 2023

The following LCD, which was posted for notice on April 27, 2023, became effective on June 11, 2023. The related billing and coding article for this LCD is also now effective:

The following Billing and Coding Article, which was revised and published on April 27, 2023, is now effective:

June 8, 2023

The following Billing and Coding Article has been revised:

The following Billing and Coding Article has been revised and will become effective June 11, 2023:

The following LCD and related Billing and Coding Article has been retired:

The following LCDs and related Billing and Coding Articles are being retired effective for dates of service on and after June 11, 2023:

June 2, 2023

The following LCD posted for comment on June 9, 2022 has been posted for notice. The LCD and related Billing and Coding Article will become effective July 17, 2023.

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

June 1, 2023

The following proposed LCD has been posted for comment. The comment period will end on July 15, 2023; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for consideration.

Submit Comments

The following Draft Billing and Coding Article is related to the above Proposed LCD.

The following Billing and Coding Article has been revised:

May 22, 2023

Novitas and First Coast greatly appreciate the comments and evidence we received as a result of the multi-jurisdictional Contractor Advisory Committee (CAC) meeting that was held on February 28, 2023, regarding Remote Physiologic Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) for Non-implantable Devices.  After careful consideration, Novitas Solutions and First Coast Service Options will not develop a Local Coverage Determination (LCD) for RPM and RTM for Non-implantable Devices. All the information and feedback received, along with any new evidence that becomes available, will be carefully considered if we decide to develop an LCD in the future.

Please keep in mind that Novitas and First Coast do not have a policy to match every procedure code, diagnosis code, or service reportable to Medicare. In some instances, we may have an LCD that is not applicable to all providers or services. In the absence of an LCD, NCD, or CMS Manual Instruction; reasonable and necessary guidelines still apply to any service reported to Medicare.

May 11, 2023

Although not required, Novitas is providing a 45-day notice of the revisions to the following article before the changes become effective on June 25, 2023:

The following Article has been revised and will become effective June 25, 2023:

The following LCD and related Billing and Coding Article have been retired:

May 4, 2023

The following Proposed LCD and related Draft Billing and Coding Article have been retired and will not be finalized. Please refer to the current LCD and related Article located on our website:

April 27, 2023

The following LCD, which posted for comment on October 13, 2022, has been posted for notice. The LCD and related Billing and Coding Article will become effective June 11, 2023.

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

The following Billing and Coding Article has been revised to become effective June 11.

The following Billing and Coding Article has been revised:

The following LCDs and related Billing and Coding Articles have been retired:

The following Billing and Coding Article has been retired:

April 20, 2023

The following Billing and Coding Articles have been revised:

April 13, 2023

The following Billing and Coding Article has been revised:

The following LCD and related Billing and Coding Article have been retired:

The following Proposed LCD and related Draft Billing and Coding Article have been retired and will not be finalized. Please refer to the current LCD and related Article located on our website:

April 6, 2023

The following Billing and Coding Articles have been revised:

The following LCDs and related Billing and Coding Articles have been retired:

The following Billing and Coding Article has been retired:

March 27, 2023

The following Local Coverage Article, which was posted for notice on February 9, 2023, is now effective:

March 23, 2023

The following articles have been retired:

March 9, 2023

The following Billing and Coding Article has been revised:

February 23, 2023

The following Billing and Coding Articles have been revised:

February 9, 2023

The following Article has been revised and will become effective March 27, 2023:

The following Billing and Coding Article has been revised:

The following LCDs and related Billing and Coding Articles have been retired:

February 6, 2023

The following LCD, which was posted for notice on December 22, 2022, became effective on February 5, 2023. The related billing and coding article for this LCD is also now effective:

January 26, 2023

The following articles have been revised to reflect the 2023 Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2023:

The following LCD and related article have been retired effective for dates of service on and after January 1, 2023:

December 30, 2022

The Novitas Solutions’ Medical Policy team has evaluated all active Local Coverage Articles for any impact in response to the 2023 Annual HCPCS/CPT Code Update. The following is a list of the impacted Articles. The revised Articles will be published to the Medicare Coverage Database and on our Website in January. Please continue to watch our website for updates.

December 22, 2022

The following LCD posted for comment on August 11, 2022, has been posted for notice. The LCD and related Billing and Coding Article will become effective February 5, 2023.

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

The following Billing and Coding Article has been revised:

December 12, 2022

The following Local Coverage Determination (LCD) which was posted for notice on October 27, 2022 is now effective. The related billing and coding article for this LCD is also now effective:

December 8, 2022

The following Billing and Coding articles have been revised:

November 28, 2022

The comment period is now closed for the following Proposed LCDs. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be related to the final LCDs when they are posted for notice.

November 18, 2022

As a reminder, the comment period for the following proposed LCDs is currently open and will close on November 26, 2022. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

November 17, 2022

The following Billing and Coding articles have been revised:

The following LCD and related Billing and Coding Article have been retired:

November 14, 2022

The following articles which were posted for notice on September 29, 2022 became effective November 14, 2022.

October 27, 2022

The following LCD posted for comment on June 9, 2022, has been posted for notice. The LCD and related Billing and Coding Article will become effective December 11, 2022.

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

October 20, 2022

The following Billing and Coding Articles have been revised to reflect the Annual ICD-10 Code updates effective for dates of service on and after October 1, 2022:

The following Billing and Coding Article has been revised effective for dates of service on and after October 1, 2022:

The following LCD has been retired effective October 1, 2022:

October 17, 2022  

The following LCD, which was posted for notice on September 1, 2022, became effective on October 16, 2022. The related billing and coding article for this LCD is also effective:

October 13, 2022

The following proposed LCDs have been posted for comment. The comment period will end on November 26, 2022; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for the Novitas Solutions Contractor Medical Directors to consider.

Submit Comments

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

The following Billing and Coding article has been revised.

October 6, 2022

The following Billing and Coding Articles have been revised:

September 29, 2022

The following Billing and Coding Article has been added to become effective November 14, 2022:

The following Article has been revised and will become effective November 14, 2022:

The following Billing and Coding Article has been revised:

September 27, 2022

The Novitas Solutions Medical Policy Team has evaluated all active Local Coverage Articles for any impact in response to the 2023 Annual ICD-10 Code Update. The following is a list of the impacted articles. The revised articles will be published to the Medicare Coverage Database and on the Novitas Website in the middle of October. Please continue to watch our website for updates.

September 26, 2022

The comment period is now closed for the following Proposed LCDs. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be related to the final LCDs when they are posted for notice.

September 19, 2022  

The following Local Coverage Article, which was posted for notice on August 4, 2022, is now effective:

September 16, 2022

As a reminder, the comment period for the following proposed LCDs is currently open and will close on September 24, 2022. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

September 6, 2022

The comment period is now closed for the following Proposed LCD. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

September 1, 2022

The following LCD posted for comment on April 14, 2022 has been posted for notice. The LCD and related Billing and Coding Article will become effective October 16, 2022.

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

The following LCD has been revised:

The following LCD posted for comment on April 14, 2022 was reposted for comment on August 11, 2022. The comment period will end on September 24, 2022.

The following Draft Billing and Coding Article is related to the above Proposed LCD.

August 26, 2022

As a reminder, the comment period for the following proposed LCD is currently open and will close on September 6, 2022. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

August 11, 2022

The following proposed LCDs have been posted for comment. The comment period will end on September 24, 2022; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for the Novitas Solutions Contractor Medical Directors to consider.

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

The following Billing and Coding Articles have been revised:

August 4, 2022

The following Billing and Coding articles have been revised to reflect the July 2022 CPT/HCPCS Code Quarterly updates and/or in response to inquiries:

The following Article has been revised effective for dates of service on and after September 19, 2022.

July 28, 2022

As indicated on July 25, 2022, the comment period for Genetic Testing for Oncology has been extended until September 6, 2022, due to changes that are being made to the final billing and coding article. Detailed information regarding the changes to the article is now visible on the document notes at the top of the proposed LCD and Draft Article.

Please refer to the Related Local Coverage Documents section at the bottom of the Proposed LCD for changes made to the draft article (DA59125, Billing and Coding: Genetic Testing for Oncology).

July 25, 2022

The comment period for the following Proposed LCD has been extended until September 6, 2022, due to changes that will be made to the Final Related Billing and Coding Article. The change in the comment end date along with detailed information regarding the changes to the article will be visible on the Medicare Coverage Database (MCD) and our website on July 28, 2022. The information will be located on the Document Note at the top of the proposed LCD and on the Document Note at the top of the draft Article. Please check our website on July 28, 2022, for this information.

Please do not re-submit comments already submitted, but we welcome additional comments related to the changes.

The comment period is now closed for the following Proposed LCD. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

July 14, 2022

As a reminder, the comment period for the following proposed LCDs is currently open and will close on July 23, 2022. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

June 30, 2022

As a reminder, the comment period for the following proposed LCDs is currently open and will close on July 23, 2022. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

June 23, 2022

The following billing and coding article has been revised.

June 9, 2022

The following proposed LCDs have been posted for comment. The comment period will end on July 23, 2022; however, you are encouraged to submit your comments as soon as possible. When submitting your comments, we encourage you to submit literature/evidence supporting your recommendations for the Novitas Solutions Contractor Medical Directors to consider.

The following Draft Billing and Coding Articles are related to the above Proposed LCDS.

The following billing and coding article has been revised:

June 2, 2022

The following articles have been revised and will become effective June 6, 2022:

May 31, 2022

The comment period is now closed for the following Proposed LCDs. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be related to the final LCDs when they are posted for notice.

May 19, 2022

The following billing and coding article has been retired:

The following LCDs have been revised:

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on May 28, 2022. Please consider including literature/evidence in support of your request with your comments. We encourage you to submit your comments as soon as possible.

Submit Comments

May 5, 2022

The following billing and coding articles have been revised:

Please refer to the sticky note on the following for revisions:

The following LCD has been revised:

April 21, 2022

The following LCD has been revised:

The following billing and coding article has been added and will become effective June 6, 2022:

The following Local Coverage Article has been revised effective for dates of service on and after June 6, 2022:

April 14, 2022

The following Proposed Local Coverage Determinations (LCDs) have been posted for comments. The comment period will end on May 28, 2022; however, you are encouraged to submit your comments as soon as possible.

Submit Comments

The following Draft Billing and Coding Articles are related to the above Proposed LCDS.

April 7, 2022

The following billing and coding article has been revised:

March 24, 2022

The following billing and coding articles have been revised:

The following billing and coding article has been retired:

March 10, 2022

The following billing and coding articles have been revised:

February 24, 2022

The following billing and coding article has been revised:

February 17, 2022

The following billing and coding articles have been revised:

February 10, 2022

The following billing and coding articles have been revised:

January 31, 2022

The following Local Coverage Determinations (LCDs) which were posted for notice on December 16, 2021 are now effective. The related billing and coding articles for these LCDs are also now effective:

January 27, 2022

The following billing and coding articles have been revised:

January 20, 2022

The following articles have been revised to reflect the 2022 Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2022:

The following LCD has been revised:

The following article has been retired:

January 13, 2022

The following billing and coding article has been revised:

December 30, 2021

The following billing and coding article has been revised:

December 28, 2021

The Novitas Solutions’ Medical Policy team has evaluated all active Local Coverage Articles for any impact in response to the 2022 Annual HCPCS/CPT Code Update. The following is a list of the impacted Articles. The revised Articles will be published to the Medicare Coverage Database and on our Website in January. Please continue to watch our website for updates.

December 16, 2021  

The following Local Coverage Determinations (LCDs) posted for comment on July 29, 2021 have been posted for notice. The LCDs and related Billing and Coding Articles will become effective January 30, 2022:

The following Response to Comments Articles contain summaries of all comments received and Novitas’ responses:

The following LCD has been revised:

December 13, 2021

The following Local Coverage Determination (LCDs) which were posted for notice on October 28, 2021 are now effective. The related billing and coding articles for these LCDs are also now effective:

December 9, 2021

The following billing and coding article has been revised:

The following LCD has been revised and will become effective December 12, 2021:

The following billing and coding articles have been revised and will become effective December 12, 2021:

November 29, 2021

The following billing and coding article has been revised:

November 18, 2021

The following LCDs have been revised:

The following Billing and Coding Articles have been revised:

November 11, 2021

The following billing and coding articles have been revised:

The following billing and coding article has been revised and will become effective on December 12, 2021:

November 8, 2021

The following billing and coding article is now effective:

November 4, 2021

The following Billing and Coding article has been revised and will become effective November 8, 2021:

October 28, 2021

The following Local Coverage Determinations (LCDs) posted for comment on June 10, 2021 have been posted for notice. The LCDs and related Billing and Coding Articles will become effective December 12, 2021:

The following Response to Comments Articles contain summaries of all comments received and Novitas’ responses:

The following Billing and Coding Articles have been revised:

October 21, 2021

The following Billing and Coding Articles have been revised:

The following Local Coverage Article has been revised:

October 14, 2021

The following Billing and Coding Articles have been revised to reflect the Annual ICD-10 Code Updates effective for dates of service on and after October 1, 2021.

In addition to the ICD-10-CM revisions, the following billing and coding article has been revised in response to an inquiry.

The following Billing and Coding Article has been revised:

October 7, 2021

The following Billing and Coding Article has been added and will become effective November 8, 2021:

September 30, 2021

The following Billing and Coding article has been revised:

The Novitas Solutions medical policy team has evaluated all active Local Coverage Determinations (LCDs) and Local Coverage Articles for any impact in response to the 2022 Annual ICD-10 Code Update. The following is a list of the impacted articles. The revised articles will be published to the Medicare Coverage Database and on the Novitas Website in the middle of October. Please continue to watch our website for updates.

September 13, 2021

The comment period is now closed for the following Proposed LCDs. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be related to the final LCDs when they are posted for notice.

September 9, 2021

The following LCD has been revised:

The following Billing and Coding Article has been revised:

September 7, 2021

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on September 11, 2021. We encourage you to submit your comments as soon as possible.

Submit Comments

August 12, 2021

The following Billing and Coding Articles have been revised:

The following Billing and Coding Article has been added and will become effective September 13, 2021:

The following Billing and Coding Article has been retired:

July 29, 2021

The following Proposed Local Coverage Determinations (LCDs) have been posted for comments. The comment period will end on September 11, 2021; however, you are encouraged to submit your comments as soon as possible.

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

July 26, 2021  

The comment period is now closed for the following Proposed Local Coverage Determinations. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

July 19, 2021

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on July 24, 2021. We encourage you to submit your comments as soon as possible.

July 12, 2021

The following LCDs and related billing and coding articles, as applicable, are now effective:

July 8, 2021

Search Enhancement

We are pleased to announce that a search enhancement has been added to the Local Coverage Determination (LCD) and Article Indexes (Active, Proposed and Retired). A new search box has been added above each LCD/Article Index table. This convenient tool will look for a direct word match within the title, for the LCD or Article number, or for a CPT/HCPCS code listed in the index. You can find our new search tool on the website here. Our Medical Policy Search Tool continues to be available for more advanced searches of LCDs and Articles.

The following LCDs have been retired:

The following billing and coding articles have been revised:

The following Billing and Coding articles have been retired:

June 29, 2021

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on July 24, 2021. We encourage you to submit your comments as soon as possible.

June 10, 2021

The following Proposed Local Coverage Determinations (LCDs) have been posted for comments. The comment period will end on July 24, 2021; however, you are encouraged to submit your comments as soon as possible.

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

The following LCD has been revised:

The following Billing and Coding Articles have been revised:

May 27, 2021

The following Local Coverage Determinations (LCDs) posted for comment on January 14, 2021 have been posted for notice. The LCDs and related Billing and Coding Articles, as applicable, will become effective July 11, 2021:

The following Response to Comments Articles contain summaries of all comments received and Novitas’ responses:

The following Billing and Coding Articles have been revised:

May 13, 2021

The following LCDs have been revised:

The following Billing and Coding Articles have been revised:

April 26, 2021

The following LCDs and related billing and coding articles are now effective:

The following Billing and Coding Article is now effective:

April 22, 2021

The following Future Local Coverage Determination (LCD) and related Billing and Coding Article, which become effective April 25, 2021, have been revised:

The following Billing and Coding Article has been revised and will become effective April 25, 2021:

The following Billing and Coding Articles have been revised:

April 8, 2021 

The following Billing and Coding Article has been revised:

April 5, 2021  

The following Local Coverage Article which was revised and  posted on February 18, 2021 is now effective:

April 1, 2021

The following Billing and Coding Article has been revised:

March 29, 2021

The following Local Coverage Determination (LCD) which was posted for notice on February 11, 2021 is now effective. The related billing and coding article for this LCD is also now effective.

March 22, 2021     

The following Local Coverage Determination (LCDs) which were posted for notice on February 4, 2021 are now effective. The related billing and coding articles for these LCDs are also now effective:

March 11, 2021

The following Local Coverage Determinations (LCDs) posted for comment on October 29, 2020 have been posted for notice. The LCDs and related Billing and Coding Articles will become effective April 25, 2021:

The following Response to Comments Articles contain summaries of all comments received and Novitas’ responses:

The following Billing and Coding articles have been revised:

March 1, 2021

The comment period is now closed for the following Proposed Local Coverage Determinations. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

February 25, 2021

The following LCDs have been revised:

The following Billing and Coding Articles have been revised:

February 18, 2021

The following Billing and Coding Article has been revised:

The following Local Coverage Article has been revised effective for dates of service on and after April 5, 2021:

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on February 27, 2021. We encourage you to submit your comments as soon as possible.

February 11, 2021

The following LCD which was posted for comment on August 27, 2020, has been posted for notice. The LCD and related Billing and Coding Article will become effective March 28, 2021:

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

The following articles have been revised to reflect the 2021 Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2021:

February 4, 2021

The following Local Coverage Determinations (LCDs) posted for comment on September 24, 2020 have been posted for notice. The LCDs and related Billing and Coding Articles will become effective March 21, 2021:

The following Response to Comments Articles contain summaries of all comments received and Novitas’ responses:

January 21, 2021

The following Billing and Coding article has been revised:

January 14, 2021  

The following Proposed Local Coverage Determinations (LCDs) have been posted for comments. The comment period will end on February 27, 2021; however, you are encouraged to submit your comments as soon as possible.

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

January 7, 2021

The following Billing and Coding Article has been revised:

The following Local Coverage Article has been revised:

December 29, 2020

Due to extenuating circumstances, the Annual HCPCS/CPT Code Update has been delayed. The following is a preliminary list of Billing and Coding Articles that will be revised in response to the update. Due to the delay, it is anticipated that the revisions will be published to the Medicare Coverage Database (MCD) and our website in early February. Please continue to watch our website for further updates. 

December 28, 2020

The following Local Coverage Determinations (LCDs) are now effective:

The following Billing and Coding Articles are now effective:

December 17, 2020

The following Local Coverage Determination (LCD) has been revised:

The following Billing and Coding Article has been revised:

December 14, 2020 

The following Local Coverage Determination (LCD) which was posted for notice on October 29, 2020 is now effective. The companion article for this LCD is also now effective:

The comment period is now closed for the following Proposed Local Coverage Determinations. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

December 10, 2020   

The following Local Coverage Determination and related Billing and Coding Article have been revised:

The following Billing and Coding Article has been revised:

December 3, 2020

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on December 12, 2020. We encourage you to submit your comments as soon as possible.

November 12, 2020

The following Local Coverage Determinations (LCDs) posted for comment on June 25, 2020 have been posted for notice. The LCDs and related Billing and Coding Articles will become effective December 27, 2020:

The following LCD posted for comment on June 25, 2020 has been posted for notice and will become effective December 27, 2020.

The following Response to Comments Articles contain summaries of all comments received and Novitas’ responses:

The following Billing and Coding Article has been revised:

The following Billing and Coding Article has been added:

November 9, 2020

The comment period is now closed for the following Proposed Local Coverage Determinations (LCDs). Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be published and related to the final LCDs when they are posted for notice.

The comment period remains open until December 12, 2020 for the following proposed LCDs.

October 29, 2020

The following Proposed Local Coverage Determinations (LCDs) have been posted for comments. The comment period will end on December 12, 2020; however, you are encouraged to submit your comments as soon as possible.

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

The following Local Coverage Determination (LCD) posted for comment on October 31, 2019 has been posted for notice. The LCD and related Billing and Coding Article will become effective December 13, 2020:

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on November 7, 2020. We encourage you to submit your comments as soon as possible.

October 15, 2020

The following Billing and Coding Article has been revised:

October 12, 2020

The following Local Coverage Determination (LCD) which was posted for notice on August 27, 2020 is now effective. The companion article for this LCD is also now effective:

The comment period is now closed for the following Proposed Local Coverage Determination. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

October 1, 2020

The following Billing and Coding Articles have been revised to reflect the Annual ICD-10 Code Updates effective for dates of service on and after October 1, 2020.

The following LCD and related Billing and Coding Article have been retired:

The following Billing and Coding Article that was published on August 27, 2020 is now effective:

September 24, 2020

The following Proposed Local Coverage Determinations (LCDs) have been posted for comments. The comment period will end on November 7, 2020; however you are encouraged to submit your comments as soon as possible.

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

The following Billing and Coding article has been revised:

The following LCD and related Billing and Coding Article have been retired:

August 27, 2020

The following Proposed Local Coverage Determination (LCD) has been posted for comments. The comment period will end on October 10, 2020, however you are encouraged to submit your comments as soon as possible.

The following Draft Billing and Coding Article is related to the above Proposed LCD.

The following Local Coverage Determination (LCD) posted for comment on April 30, 2020 has been posted for notice. The LCD and related Billing and Coding Article will become effective October 11, 2020:

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

The following Future Billing and Coding Article, which will replace the current Billing and Coding Article: Chiropractic Services (A52987), has been published and will become effective October 01, 2020:

The following LCDs and related Billing and Coding Articles have been retired:

August 13, 2020

The following Billing and Coding Article has been revised, consistent with CPT guidelines, to clarify that non-graft wound dressings (e.g., gel, powder, ointment, foam, liquid) or injected skin substitutes should not be reported with skin replacement surgery application codes. Claims received on and after August 13, 2020 reporting non-graft wound dressings with a surgery application code will be rejected.

The following Local Coverage Determinations (LCDs) have been revised:

The following Billing and Coding Articles have been revised:

The following LCDs and their related Billing and Coding Articles have been retired:

August 10, 2020

The comment period is now closed for the following Proposed Local Coverage Determinations. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be related to the final LCDs when they are posted for notice.

July 30, 2020

The following Billing and Coding articles have been revised to reflect the July 2020 CPT/HCPCS Code Quarterly updates effective for dates of service on and after July 1, 2020:

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on August 8, 2020. We encourage you to submit your comments as soon as possible to allow ample time for us to review them thoroughly.

July 23, 2020

The following Local Coverage Determination (LCD) and its related Billing and Coding Article has been revised:             

The following LCD has been revised:

The following Billing and Coding Article has been revised:

The following LCDs and related Billing and Coding Articles have been retired:

July 16, 2020

As a reminder, the comment period for the following Proposed Local Coverage Determinations (LCDs) is currently open and will close on August 8, 2020. We encourage you to submit your comments as soon as possible to allow ample time for us to review them thoroughly.

July 13, 2020

The following Local Coverage Determinations (LCDs) which were posted for notice on May 28, 2020 are now effective. The related Billing and Coding articles for these LCDs are also now effective:

July 2, 2020

The following LCDs and related Billing and Coding Articles have been revised:

The following LCDs have been revised:

The following Billing and Coding Article has been revised:

The following LCDs and the related Billing and Coding Articles have been retired effective for dates of service on and after July 1, 2020:

June 25, 2020

The following Proposed Local Coverage Determinations (LCDs) have been posted for comments. The comment period will end on August 8, 2020, however you are encouraged to submit your comments as soon as possible to allow ample time for us to review them thoroughly.

The following Draft Billing and Coding Articles are related to the above Proposed LCDs.

The following Billing and Coding Article has been revised:

The following LCD and related Billing and Coding Article have been retired:

June 15, 2020

The comment period is now closed for the following Proposed Local Coverage Determination. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Article and finalized Billing and Coding Article will be related to the final LCD when it is posted for notice.

June 4, 2020

As a reminder, the comment period for the following Proposed Local Coverage Determination (LCD) is currently open and will close on June 13, 2020. We encourage you to submit your comments as soon as possible to allow ample time for us to review them thoroughly.

The following Draft Billing and Coding Article is related to the above Proposed LCD.

The following Billing and Coding Article has been added:

The following Billing and Coding Article has been revised:

May 28, 2020

The following Local Coverage Determinations (LCDs) posted for comment on December 26, 2019 have been posted for notice. The LCDs and related Billing and Coding Articles will become effective July 12, 2020:

The following Response to Comments Articles contain summaries of all comments received and Novitas’ responses:

May 26, 2020

The following Local Coverage Determination (LCD) posted for notice on April 9, 2020 became effective May 24, 2020. The related Billing and Coding Article also became effective May 24, 2020.

May 21, 2020

The following Billing and Coding Article has been revised. It will become effective on May 24, 2020 with its corresponding Local Coverage Determination L35428 which was posted for notice on April 9, 2020.

May 15, 2020

As a reminder, the comment period for the following Proposed Local Coverage Determination (LCD) is currently open and will close on June 13, 2020. We encourage you to submit your comments as soon as possible to allow ample time for us to review them thoroughly.

May 14, 2020

The following Billing and Coding Article has been revised:

May 7, 2020

The following Billing and Coding Article has been revised:

April 30, 2020

The following Proposed Local Coverage Determination (LCD) has been posted for comments. The comment period will end on June 13, 2020, however you are encouraged to submit your comments as soon as possible to allow ample time for us to review them thoroughly.

The following Draft Billing and Coding Article is related to the above Proposed LCD.

The following LCD has been revised:

The following Billing and Coding Articles have been revised:

The following Billing and Coding Articles have been retired:

April 23, 2020

The following Local Coverage Article has been revised. Due to the current public health emergency the effective date for the addition of Tremfya® (J1628) and Stelara® (J3357) will be deferred until 45 days after the public health emergency ends. Please continue to watch our website for updates.

April 16, 2020

The following Local Coverage Determination (LCD) and related Billing and Coding Article have been revised:

April 9, 2020

The following Local Coverage Determination (LCD) posted for comment on October 31, 2019 has been posted for notice. The LCD and related Billing and Coding Article will become effective May 24, 2020:

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

The following Billing and Coding Articles have been revised:

March 19, 2020

The following Local Coverage Determination (LCD) has been revised:

The following Local Coverage Article has been revised and is posted for notice. The article will become effective May 3, 2020:

March 16, 2020

The following Local Coverage Determination (LCD) which was posted for notice on January 30, 2020 is now effective. The companion article for this LCD is also now effective:

March 12, 2020

The following Billing and Coding Article has been revised:

February 13, 2020

The following Local Coverage Determinations (LCDs) have been revised:

The following Billing and Coding Articles have been revised:

February 10, 2020

The comment period is now closed for the following Proposed Local Coverage Determinations. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be related to the final LCDs when they are posted for notice.

February 3, 2020

The comment period will close on February 8, 2020 for the following Proposed Local Coverage Determinations (LCDs):

Submit Comments

January 30, 2020

The following Local Coverage Determination (LCD) posted for comment on August 29, 2019 has been posted for notice. The LCD and related Billing and Coding Article will become effective March 15, 2020:

The following Response to Comments Article contains summaries of all comments received and Novitas’ responses:

January 16, 2020

The following Local Coverage Determination (LCD) has been revised.

The following articles have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2020:

December 30, 2019

The following Local Coverage Determinations (LCDs) which were posted for notice on November 14, 2019 are now effective. The related Billing and Coding articles for these LCDs are also now effective:

Please Note: Billing and Coding: 4Kscore Test Algorithm Article (A56281) will be retired effective 12/29/2019. Please refer to A56653 for services on and after 12/30/2019.

December 26, 2019

The following Local Coverage Determinations (LCDs) has have been posted for comments. The comment period will end on February 8, 2020.

Submit Comments

The following Draft Billing and Coding articles are related to the above Proposed LCDs.

December 20, 2019

New Look to Local Coverage Determinations (LCDs) and Billing and Coding Articles

Consistent with the instruction in Change Request (CR) 10901, the Medical Policy Team has been working to relocate all coding information from our Local Coverage Determinations (LCDs) into related Billing and Coding Articles. This project was completed on November 21, 2019. Therefore, you will now find all coding information in Billing and Coding Articles. In order to better assist you in finding the related Billing and Coding Article, a link has been placed at the bottom of the LCDs.

The Novitas Solutions Medical Policy team has evaluated all active Local Coverage Articles for any impact in response to the 2020 Annual HCPCS/CPT Code Update. The following is a list of the impacted Articles. The revised Articles will be published to the Medicare Coverage Database and on our Website in January. Please continue to watch our website for updates.

December 16, 2019

The comment period is now closed for the following Proposed Local Coverage Determinations. Comments received will be reviewed by our Contractor Medical Directors. The Response to Comments Articles and finalized Billing and Coding Articles will be related to the final LCDs when they are posted for notice.

December 9, 2019

The comment period will close on December 15, 2019 for the following Proposed Local Coverage Determinations (LCDs):

Submit Comments

December 2, 2019

The following Local Coverage Article which was posted for notice on October 17, 2019 is now effective:

November 21, 2019

The following Local Coverage Determinations have been revised. The related Billing and Coding articles have also been revised or added.

The following LCD has been revised:

The following Billing and Coding Articles have been revised:

The following LCD and the related Billing and Coding Article have been retired for dates of service on and after November 21, 2019:

November 14, 2019

The following Local Coverage Determinations (LCDs) posted for comment on June 27, 2019 have been posted for notice. The LCDs and related Billing and Coding Articles will become effective December 30, 2019:

The following Response to Comment Articles contain summaries of all comments received and Novitas’ responses:

The following Local Coverage Determinations have been revised. The related Billing and Coding articles, if applicable, have been added or revised.

The following Billing and Coding Articles have been revised:

November 7, 2019

The following Local Coverage Determinations (LCDs) and related Billing and Coding articles have been revised.

The following Billing and Coding article has been revised.

October 31, 2019

The following Local Coverage Determinations (LCDs) have been revised in response to reconsideration requests and are now posted as Proposed LCDs. The Proposed LCDs are open for comments related to the current revisions only. Please refer to the Synopsis of Changes, Summary of Evidence and Analysis of Evidence sections for information pertinent to the revisions that are open for comment. The comment period will end on December 15, 2019.

The following draft Billing and Coding articles are related to the above Proposed LCDs. The articles contain the applicable CPT/HCPCS codes, ICD-10 Codes and billing and coding information.

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding articles for these LCDs have been added or revised.

The following Billing and Coding article has been revised.

October 17, 2019

In response to the annual ICD-10 code update, the following Billing and Coding articles have been added or revised. The related Local Coverage Determinations (LCDs) have been revised to remove the codes and place them into the Billing and Coding articles.

In response to the 2020 annual ICD-10 code update, the following Billing and Coding Articles have been revised. Related LCDs, as applicable, have undergone a system change to remove the coding sections.

The following Billing and Coding Articles have been revised. The related LCDs have been revised to remove the coding sections.

---------------------------------------------------------------------------------------------------------

The Self-Administered Drug Exclusion List, A53127 has been revised and is posted for notice. The article will become effective December 2, 2019

October 14, 2019

The comment period is now closed for the following Proposed Local Coverage Determination (LCD). Comments received will be reviewed by our Contractor Medical Directors and a Response to Comments Article and a finalized Billing and Coding Article will be posted to our website and related to the LCD when it is posted for notice.

October 10, 2019

The following Draft Articles have replaced the Future Effective Articles and have been related to the Proposed LCDs:

October 8, 2019

The comment period will close on October 13, 2019 for the following Proposed Local Coverage Determination (LCD):

Submit Comments

September 27, 2019

The Novitas Solutions medical policy team has evaluated all active Local Coverage Determinations (LCDs) and Local Coverage Articles for any impact in response to the 2020 Annual ICD-10 Code Update. The following is a list of the impacted LCDs and Articles. The revised Articles will be published to the Medicare Coverage Database and on the Novitas Website in the middle of October. Please continue to watch our website for updates.

September 26, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding Articles for these LCDs have been added or revised.

September 12, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding Articles for these LCDs have been added or revised:

The following Billing and Coding Articles have been revised:

August 29, 2019

The following Proposed Local Coverage Determination (LCD) has been posted for comment. The comment period will end on October 13, 2019:

Submit Comments

The following future effective related billing and coding article has been added:

August 22, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding Articles for these LCDs have been added or revised:

The following LCD has been revised:

The following Billing and Coding Articles have been revised:

August 12, 2019

The comment period is now closed for the following Proposed Local Coverage Determinations (LCDs). Comments received will be reviewed by our Contractor Medical Directors and Response to Comments Articles will be posted to our website and related to the LCDs when they are posted for notice.

August 8, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding Articles for these LCDs have been added:

The following Billing and Coding Article has been revised:

August 2, 2019

The comment period will close on August 11, 2019 for the following Proposed Local Coverage Determinations (LCDs):

Submit Comments

July 25, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding articles for these LCDs have been added:

The following Local Coverage Determination (LCD) has been revised

The following Local Coverage Article has been revised:

July 11, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding articles for these LCDs have been added:

The following Local Coverage Article has been revised:

July 4, 2019

The following Local Coverage Determination (LCD) has been revised. The related Billing and Coding article has also been revised:

June 27, 2019

The following Proposed Local Coverage Determinations (LCDs) have been posted for comment. The comment period will end on August 11, 2019:

Submit Comments

The following future effective related billing and coding articles have been added:

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding articles for these LCDs have been added or revised:

The following Local Coverage Articles have been revised:

June 13, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding articles for these LCDs have been added or revised:

June 10, 2019

Ongoing Revisions to LCD Format

Consistent with Change Request (CR) 10901 language from National Coverage Determinations and/or CMS manuals must be removed from our Local Coverage Determinations (LCDs) and replaced with the applicable references. Also HCPCS/CPT codes and ICD-10 codes will be removed from LCDs and placed in Local Coverage Articles.

This change began with the LCD revisions on February 14, 2019 with an expectation of completion by December 31, 2019. The above changes will alter the look of our LCDs; however, the “Revision History Information” will continue to provide a clear explanation for any modifications.

May 30, 2019

The following Local Coverage Determinations (LCDs) have been revised. The related Billing and Coding articles for these LCDs have been added or revised:

The following articles have been revised:

May 20, 2019

The following Local Coverage Determinations (LCDs) which were posted for notice on April 4, 2019 are now effective. The related Billing and Coding articles for these LCDs are also now effective:

May 16, 2019

The following Local Coverage Determinations have been revised:

The following Local Coverage Article has been revised:

The following Local Coverage Articles have been added:

May 2, 2019

Implementation of the following Local Coverage Determination (LCD) is being delayed.  This LCD will not become effective on May 7, 2019. Please watch our website for updates regarding this LCD. 

Implementation of the following Local Coverage Article is being delayed. This article will not become effective on May 7, 2019. Please watch our website for updates regarding this article.

April 25, 2019

The following Local Coverage Determinations have been revised:

The following Local Coverage Articles have been revised and the titles have been changed:

The following Local Coverage Articles have been added:

April 18, 2019

The following Local Coverage Determinations have been revised:

The following Local Coverage Articles have been revised:

April 11, 2019

The following Local Coverage Determinations have been revised:

The following Local Coverage Article has been added:

The following Local Coverage Article has been revised and the title has been changed: 

April 4, 2019

The following Local Coverage Determinations (LCDs) posted for comment on September 20, 2018 and presented at the October 2018 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective May 20, 2019:

The following related Local Coverage Articles will become effective on May 20, 2019:

The following Local Coverage Articles contain summaries of comments received and Novitas’ responses:

The following Local LCD has been revised:

The following related Local Coverage Article has been revised and has a title change:

The following LCD has been revised:

The following Local Coverage Article has been added:

March 28, 2019

The following Local Coverage Determinations have been revised:

The following Local Coverage Article has been revised. (Please note that the Article title has been changed):

The following Local Coverage Articles have been added:

March 21, 2019

The following Local Coverage Determination (LCD) which was posted for notice on January 31, 2019 is now effective. The companion article for this LCD is also now effective:

The following Local Coverage Determination (LCD) which was posted for notice on January 31, 2019 has been placed on hold. The LCD will not become effective on March 21, 2019. The new Notice Period End date for this LCD is now May 6, 2019 and it will become effective May 7, 2019.

The following article will now become effective May 7, 2019 to coincide with the new effective date of Local Coverage Determination (LCD) L37796:

The following Local Coverage Determinations have been revised:

The following Local Coverage Articles have been revised. (Please note that the Article titles have been changed):

The following article has been added:

March 15, 2019

The following JL Local Coverage Determination (LCD) has been placed on hold and will not become effective on March 21, 2019.  Please watch our website for updates regarding this LCD and its effective date.

The following JL Local Coverage Article has been placed on hold and will not become effective on March 21, 2019. Please watch our website for updates regarding this Article and its effective date.

March 13, 2019

Multi-jurisdictional Contractor Advisory Committee (CAC) via Webex on March 20, 2019

As previously communicated on February 22, 2019 the Medicare Administrative Contractors (MACs) will host a multi-jurisdictional Contractor Advisory Committee (CAC) via Webex on March 20, 2019, 1-4 pm EST hosted by National Government Services.

The conference will be by teleconference only. Please plan to record your voting responses during the meeting directly on the voting questions Word document and return them to Novitas Solutions at MedicalAffairs@novitas-solutions.com.

You may join Webex by calling 844-824-1430 and entering the conference ID 4983205.

Click here for additional information regarding this meeting.

March 1, 2019

The following Local Coverage Determination (LCD) which was posted for notice on January 10, 2019 is now effective:

The following Coding Article is now effective:

February 28, 2019

The following Local Coverage Determination (LCD) has been revised:

In response to Change Request 10901, the following Local Coverage Determination (LCD) has been revised to remove the Current Procedural Terminology (CPT) Codes:

The following Local Coverage Article has been revised:

The following article has been added.  It will become effective March 26, 2019

February 22, 2019

As previously communicated on February 15, 2019 the Medicare Administrative Contractors (MACs) will host a multi-jurisdictional Contractor Advisory Committee (CAC) via Webex on March 20, 2019, 1-4 pm EST which will be led by National Government Services.

The purpose of the meeting is to obtain advice from CAC members and subject matter experts (SMEs) regarding the strength of published evidence on Percutaneous Vertebral Augmentation (PVA) for osteoporotic Vertebral Compression Fracture (VCF). In addition to discussion, the CAC and SME panel will vote on pre-distributed questions. The public is invited to attend as observers.

Ever since two high profile, methodologically controversial, randomized controlled trials (RCTs) found no benefit of percutaneous vertebroplasty over sham in 2009, there has been a lack of consensus on the appropriate management of osteoporotic VCF, particularly the role of PVA. After several recent publications further question the value of PVA, Contractor Medical Directors (CMDs) thought it appropriate to reassess current Medicare coverage. CAC panels do not make coverage determinations, but MACs benefit from their advice.

E-mail correspondence regarding this meeting with additional information is being sent to the Novitas CAC members. Any Novitas CAC member or SME located within the Novitas jurisdiction interested in participating in this multi-jurisdictional meeting should contact Novitas Solutions at MedicalAffairs@novitas-solutions.com.

Tentative questions that the CAC members and SMEs will be asked to provide advice on are in the Voting Questions link below along with a bibliography listing in the Vertebral Augmentation Bibliography link below. Final questions and an agenda will be posted to the Novitas Website March 13, 2019.

February 21, 2019

The Centers for Medicare & Medicaid (CMS) issued Change Request 10865, Transmittal 213 on February 15, 2019, revising the implementation date for NCD 20.4 Implantable Cardiac Defibrillators (ICDs) to March 26, 2019. The Medicare Administrative Contractors (MACs) are instructed to implement NCD 20.4 at the local level; therefore, Novitas is publishing a related Billing and Coding Article on the Medicare Coverage Database (MCD) to assist providers with the proper reporting of these services. The Article will be published on the MCD and Novitas’ website on February 28, 2019.

The effective date of the following Local Coverage Determination (LCD) posted for notice on January 31, 2019 has been changed from February 28, 2019 to March 1, 2019. A note has been added to the LCD to reflect this change.

The effective date for the following Local Coverage Article has been changed from February 28, 2019 to March 1, 2019. A note has been added to the Article to reflect this change.

February 15, 2019

Medicare Administrative Contractors (MACs) will host a multi-jurisdictional Contractor Advisory Committee (CAC) via Webex on March 20, 2019, 1-4 pm EST

The purpose of the meeting is to obtain advice from CAC members and subject matter experts (SMEs) regarding the strength of published evidence on Percutaneous Vertebral Augmentation (PVA) for osteoporotic Vertebral Compression Fracture (VCF). In addition to discussion, the CAC and SME panel will vote on pre-distributed questions. The public is invited to attend as observers.

Ever since two high profile, methodologically controversial, randomized controlled trials (RCTs) found no benefit of percutaneous vertebroplasty over sham in 2009, there has been a lack of consensus on the appropriate management of osteoporotic VCF, particularly the role of PVA. After several recent publications further question the value of PVA, Contractor Medical Directors (CMDs) thought it appropriate to reassess current Medicare coverage. CAC panels do not make coverage determinations, but MACs benefit from their advice.

A participant Disclosure Statement, background material, and tentative questions will be posted by 2/22; the agenda (including final questions and Webex details) will be posted 3/13/19.

February 14, 2019

Consistent with the new LCD process outlined in the Medicare Program Integrity Manual, Chapter 13, Section 13.5.1, language from statute, regulations, rulings interpretive manuals, etc. has been removed from the coverage and indications section of the revised Local Coverage Determinations (LCDs) listed below and replaced with the applicable references.

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2019:

The following JL Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2019:

January 31, 2019

The following Proposed Local Coverage Determinations (LCDs) posted for comment on May 17, 2018 and presented at the June 2018 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective March 21, 2019.

The following Local Coverage Articles will become effective March 21, 2019:

The following Articles contain summaries of comments received and Novitas’ responses:

January 10, 2019

The following Proposed Local Coverage Determination (LCD) posted for comment on September 14, 2017, and presented at the October 2017 Contractor Advisory Committee (CAC) Meeting has been posted for notice. It will become effective February 28, 2019:

The following article contains a summary of the comments received and responses to the Frequency of Hemodialysis Proposed LCD (DL35014):

The following Local Coverage Article has been revised and will become effective February 28, 2019:

January 9, 2019

Important Updates to the Medical Policy Center

In response to Change Request (CR) 10901, effective January 8, 2019 the Local Coverage Determination (LCD) process has changed. The Medical Policy Center located on the Novitas Solutions Website has been updated to reflect the new process. Important updates include changes to the Local Coverage Determination Process, the LCD Reconsideration Process, the Contractor Advisory Committee (CAC) Meetings and Open Meetings. Please visit our Website for the most up to date information related to the new LCD process.

January 3, 2019

The following JL Local Coverage Determination (LCD) is now effective after being posted for notice and has also been revised

The following JL LCD has been revised:

December 28, 2018

The Novitas Solutions medical policy team has evaluated all active Local Coverage Determinations (LCDs) and Local Coverage Articles for any impact in response to the 2019 Annual HCPCS/CPT Code Update. The following is a list of the impacted LCDs and Articles.

The revised LCDs and Articles will be published to the Medicare Coverage Database and on our Website in February. Please continue to watch our website for updates.

December 20, 2018

The following JL Local Coverage Determination (LCD) has been revised:

December 6, 2018

The hold has been lifted from the following JL Local Coverage Determination and it will become effective for dates of service on and after January 3, 2019.  No changes have been made to the content of this LCD since it was placed on hold. The LCD below reflects the effective date of January 3, 2019 and an updated revision history.

The following JL Local Coverage Determinations have been revised:

November 27, 2018

The hold is being lifted from the following JL Local Coverage Determination (LCD) and it will become effective for dates of service on and after January 3, 2019.  No changes are being made to the content of the LCD since it was placed on hold.  The LCD with the new revision effective date of January 3 will be posted to our website on December 6, 2018:

November 9, 2018

The comment period is now closed for the following JL Draft Local Coverage Determinations (LCDs). Comments received will be reviewed by our Contractor Medical Directors and Response to Comments Articles will be posted to our website and related to the LCDs when they are posted for notice.

November 8, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

November 1, 2018

The comment period will close on November 8, 2018 for the following JL Draft Local Coverage Determinations (LCDs):

Submit Comments

October 25, 2018

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual ICD-10-CM Code Updates effective for dates of service on and after October 1, 2018.

These LCDs may also contain other updates. Please refer to the revision histories for revision details.

The following JL Local Coverage Articles have been revised to reflect the Annual ICD-10-CM Code Updates effective for dates of service on and after October 1, 2018.

These articles may also contain other updates. Please refer to the revision histories for revision details.

The following JL Local Coverage Article has been revised:

The following JL LCD has been retired for dates of service on and after October 25, 2018:

October 4, 2018

The following JL Local Coverage Determinations have been revised:

The following JL Local Coverage Article has been revised:

The following JL Local Coverage Determinations have been retired:

September 25, 2018

Local Coverage Determinations and Local Coverage Articles affected by the Annual ICD-10 Code Update will be revised and posted to our Website and the Medicare Coverage Database on Thursday, October 25, 2018.

September 20, 2018

The following JL Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period will end on November 08, 2018:

Submit Comments

September 14, 2018

The following JL Local Coverage Determination (LCD) which was posted for notice on July 26, 2018 is now effective:

September 13, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Article has been revised:

August 16, 2018

The following JL Local Coverage Determination (LCD) has been placed on hold and will not become effective on August 16, 2018.  Please watch our website for updates regarding this LCD and its effective date.

The following LCD will remain in effect until further notice:

The following JL Local Coverage Determination (LCD) has been revised:

August 9, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

July 26, 2018

The following JL Draft Local Coverage Determination (LCD) posted for comment on January 18, 2018 and presented at the February 2018 Contractor Advisory Committee (CAC) Meeting has been posted for notice. It will become effective September 14, 2018:

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

July 14, 2018

The comment period is now closed for the following JL Draft Local Coverage Determinations (LCDs). Comments received will be reviewed by our Contractor Medical Directors and Response to Comments Articles will be posted to our website and related to the LCDs when they are posted for notice.

July 12, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

July 5, 2018 

It has come to our attention that the JL Draft LCD Comment Form has not been functioning properly. If you have submitted comments for the following draft LCDs in the past week please resubmit your comment either by:

Email: draftlcdcomments@novitas-solutions.com

or by fax at (717) 728-8767

The comment period for these two Draft LCDs will be extended to July 13, 2018 to allow time for resubmissions and to ensure that adequate time has been provided for comments.

We apologize for any inconvenience this may have caused.

June 28, 2018

The following JL Draft Local Coverage Determination (LCD) posted for comment on January 18, 2018 and presented at the February 2018 Contractor Advisory Committee (CAC) Meeting has been posted for notice. It will become effective August 16, 2018:

Comments Received and Contractor Responses

The comment period will close on July 5, 2018 for the following JL Draft Local Coverage Determinations (LCDs):

Submit Comments

June 14, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

May 17, 2018

The following JL Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period will end on July 5, 2018:

Submit Comments

May 10, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

April 12, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

March 29, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

March 15, 2018

The following JL Local Coverage Article which was posted for notice on January 25, 2018 is now effective:

March 9, 2018

The comment period is now closed for the following JL Draft Local Coverage Determinations (LCDs). Comments received will be reviewed by our Contractor Medical Directors and Response to Comments Articles will be posted to our website and related to the LCDs when they are posted for notice.

March 8, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

March 2, 2018

The comment period will close on March 8, 2018 for the following JL Draft Local Coverage Determinations (LCDs):

Submit Comments

February 8, 2018

The following JL Local Coverage Determinations (LCDs) have been revised:

January 25, 2018

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2018:

The following JL Local Coverage Determinations (LCDs) which were posted for notice on December 7, 2017 are now effective:

The following JL Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2018:

The following JL Local Coverage Article has been posted for notice and will become effective March 15, 2018:

January 18, 2018

The following JL Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period will end on March 8, 2018:

Submit Comments

January 11, 2018

Novitas’ Local Coverage Determinations (LCDs) have a new format. There are three new sections that provide insight into the rationale for the indications and limitations of coverage in Novitas’ LCDs:  

The new sections have been added to accommodate the 21st Century Cures Act and will be included in all draft LCDs requiring a comment and notice period. Additionally, when draft LCDs are finalized, Novitas will include a hyperlink at the bottom of the LCD to a “Response to Comments (RTC)” Local Coverage Article that will provide a summary of all the comments received during the draft comment period along with Novitas’ responses. LCDs will continue to be developed and revised in accordance with the CMS Internet-Only Manual (IOM) Publication 100-08, Medicare Program Integrity Manual, Chapter 13.

The new LCD format and RTC Article provide increased clarity and transparency for a better understanding of the development of Local Coverage Determinations.

December 18, 2017

Novitas is currently reviewing all Local Coverage Determinations (LCDs) and Local Coverage Articles to identify any impact to the documents as a result of the 2018 Annual CPT/HCPCS Code Update. We anticipate posting the revised LCDs and Articles on January 25, 2018.

December 14, 2017

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Determination has been retired effective December 1, 2017:

December 12, 2017

Clarification Regarding Biomarkers

Novitas considers any biomarker that is not addressed as specifically covered in any of our Local Coverage Determinations (LCDs) or any national policy to be not reasonable and necessary. Although this instruction is included in our Biomarkers for Oncology LCD (L35396), it has been determined that further clarification would be helpful. Therefore, the following statement from the Biomarkers for Oncology LCD is being added to the Novitas’ Biomarkers Overview LCD (L35062): “Biomarkers not addressed in this LCD or any other Novitas LCD will be considered not reasonable and necessary unless specifically covered by national policy.”

The above statement will display in the Biomarkers Overview LCD (L35062) on Novitas’ website and the Medicare Coverage Database (MCD) on December 14, 2017.

December 7, 2017

The following JL Draft Local Coverage Determination (LCD) posted for comment on January 19, 2017 and presented at the February 2017 Contractor Advisory Committee (CAC) Meeting has been posted for notice. It will become effective January 25, 2018:

Comments Received and Contractor Responses

The following JL Draft Local Coverage Determinations (LCDs) posted for comment on May 18, 2017 and presented at the June 2017 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective January 25, 2018:

Comments Received and Contractor Responses

November 9, 2017

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

The following JL Local Coverage Determination (LCD) which was posted for notice on September 21, 2017 is now effective:

The following JL Local Coverage Determination (LCD) which was posted for notice on September 21, 2017 has been revised and is now effective:

November 3, 2017

The comment period is now closed for the JL Draft Local Coverage Determination (LCD) listed below. Comments received will be reviewed by our Contractor Medical Directors and a summary comment and response document will be posted to our website when the final LCD is posted for notice.

October 26, 2017

The comment period will close on November 2, 2017 for the following JL Draft Local Coverage Determination (LCD):

Submit Comments

October 12, 2017

The following JL Article has been added:

October 5, 2017

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual ICD-10-CM Code Updates effective for dates of service on and after October 1, 2017:

The following JL Local Coverage Articles have been revised to reflect the Annual ICD-10-CM Code Updates effective for dates of service on and after October 1, 2017:

The following JL Local Coverage Determination (LCD) has been revised:

The following JL Local Coverage Article has been revised:

October 2, 2017

Local Coverage Determinations (LCDs) and Local Coverage Articles affected by the Annual ICD-10 Code Update will be revised and posted on the Novitas Website and the Medicare Coverage Database (MCD) on Thursday October 5, 2017.

September 21, 2017

The following JL Draft Local Coverage Determinations (LCDs) posted for comment on January 19, 2017 and presented at the February 2017 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective November 9, 2017:

Comments Received and Contractor Responses

The following JL LCD is still being finalized and will become effective at a later date. Please continue to watch our website for updates:

The following JL LCD is not being finalized. Continue to watch our website for further updates.

September 14, 2017

The following JL Local Coverage Determination (LCD) has been revised:

The following JL Draft Local Coverage Determination (LCD) has been posted for comment. The comment period will end on November 2, 2017.

Submit Comments

The following JL Local Coverage Article has been added as a companion Article for DL35014, Frequency of Hemodialysis. The Article will become effective at the same time the Final policy becomes effective.

The following JL Local Coverage Article has been revised:

August 28, 2017

The following JL Local Coverage Article which was posted for notice on July 13, 2017 is now effective:

August 24, 2017

The following JL Local Coverage Determination (LCD) has been revised:

August 10, 2017

The following JL Local Coverage Determinations (LCDs) have been revised;

The following JL Local Coverage Article has been revised:

August 3, 2017

The following JL Local Coverage Article has been revised:

The following JL Local Coverage Article has been retired:

July 13, 2017

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Determination (LCD) has been retired effective July 13, 2017:

The following JL Local Coverage Article has been revised:

The following JL Local Coverage Article has been posted for notice and will become effective August 28, 2017:

July 7, 2017

The comment period is now closed for the JL Draft Local Coverage Determinations (LCDs) listed below. Comments received will be reviewed by our Contractor Medical Directors and a summary comment and response document will be posted to our website when the final LCDs are posted for notice.

July 6, 2017

The following JL Local Coverage Determination (LCD) has been revised and is now displaying properly:

June 29, 2017

The following JL Local Coverage Determination (LCD) has been revised:

The comment period will close on July 6, 2017 for the following JL Draft Local Coverage Determinations (LCDs):

Submit Comments

June 26, 2017

Epidural Injections for Pain Management (L36920)

It has been brought to our attention that LCD L36920, Epidural Injections for Pain Management is displaying incorrectly indicating that the policy is on hold. Please be advised that as communicated on June 8, 2017, L36920, Epidural Injections for Pain Management is effective and became effective June 8, 2017.

We apologize for any confusion that this may have caused and we are diligently working to have the notification on the LCD corrected as soon as possible. Please continue to watch our website for updates.

June 20, 2017

LCD L36711 – Intensity Modulated Radiation Therapy (IMRT)

Following review and discussion of L36711 Novitas will be making revisions to the policy. Please continue to watch our website.

As a reminder, the LCD Reconsideration Process is the appropriate mechanism for interested parties to request a revision to a LCD. The process is available only for final LCDs. The whole LCD or any provision of the LCD may be reconsidered. Any requests for revisions to LCD L36711 must be submitted via this process.

LCD Reconsideration Process Instructions

June 14, 2017

It has come to our attention that the Draft Local Coverage Determinations (LCDs) Submit Comments form has not been functioning properly. Your comments are important to us; therefore, if you submitted comments for the following draft LCDs using the form and did not receive an email acknowledging receipt of your comments, we encourage you to re-submit your comments. We apologize for any inconvenience.

Submit Comments

June 8, 2017

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Draft LCD which was posted for comment on December 8, 2016 is retired and will not be finalized at this time. 

The following JL Local Coverage Article has been revised:

The hold that was placed on the following LCD on April 27, 2017 has been lifted and the LCD is effective as of June 8, 2017:

May 25, 2017

Open Comment Period for Draft Policies

Novitas Solutions recently posted the following draft Local Coverage Determinations (LCDs) for public comment. This is an important opportunity to provide feedback on any aspect of the draft policies.

Under each draft LCD, the specialties listed may have a particular interest in the policies. Please take the time to read the drafts and comment before July 6, 2017.

Electroretinography (ERG) (DL37371):

Reflectance Confocal Microscopy (DL37375):

Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography (DL35035):

Submit Comments

May 18, 2017

The following JL Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period will end on July 6, 2017.

May 11, 2017

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

May 4, 2017

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Determination (LCD) which was posted on March 16, 2017 has been revised to remove information specific to epidural injections and is now effective.

The following JL Local Coverage Determination (LCD) which was posted for notice on March 16, 2017 is now effective:

April 27, 2017

The following JL LCD has been revised and placed on hold and will not become effective May 4, 2017. Please continue to watch our website for updates:

April 13, 2017

The following JL Local Coverage Determinations have been revised:

The following JL Local Coverage Articles have been revised:

March 16, 2017

The following JL Local Coverage Determinations have been revised:

The following JL Local Coverage Article has been revised:

The following JL Local Coverage Determination (LCD) posted for notice on December 8, 2016 became effective February 1, 2017:

The following JL Draft Local Coverage Determinations (LCDs) posted for comment on September 15, 2016 and presented at the October 2016 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective May 4, 2017:

Please note, in response to the creation of LCD L36920 Epidural Injections for Pain Management, the following Local Coverage Determination (LCD) has undergone a title change and has been revised to remove any information specific to epidurals. The content specific to facet joint and sacroiliac injections is unchanged. The revised policy will become effective May 4, 2017:

March 10, 2017

The comment period is now closed for the JL Draft Local Coverage Determinations (LCDs) listed below. Comments received will be reviewed by our Contractor Medical Directors and a summary comment and response document will be posted to our website when the final LCDs are posted for notice.

March 3, 2017

The comment period will close on March 9, 2017 for the following JL Draft Local Coverage Determinations (LCDs):

Submit Comments

March 1, 2017

The comment period is now closed for the JL Draft Local Coverage Determination (LCD) listed below. Comments received will be reviewed by our Contractor Medical Directors and a summary comment and response document will be posted to our website when the final LCD is posted for notice.

January 26, 2017

Open Comment Period for Draft Policies

Novitas Solutions recently posted the following draft Local Coverage Determinations (LCDs) for public comment.  This is an important opportunity to provide feedback on any aspect of the draft policies. 

Under each draft LCD, the specialties listed may have a particular interest in the policies. Please take the time to read the drafts and comment before March 9, 2017.

Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder (DL34998)

Scanning Computerized Ophthalmic Diagnostic Imaging (DL35038)

Treatment of Varicose Veins of the Lower Extremities (DL34924)

Wound Care (DL35125)

Submit Comments

January 24, 2017

Novitas has decided to extend the comment period for the following JL Draft Local Coverage Determination (LCD) which was posted for a second comment period on December 8, 2016. The comment period will now end on February 28, 2017.

January 19, 2017

The following JL Draft Local Coverage Determinations (LCDs) are posted for comment. The comment period will end on March 9, 2017.

Submit Comments

January 12, 2017

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2017:

The following JL LCDs have been revised:

The following JL Local Coverage Determination has been retired effective December 31, 2016:

The following JL Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS code updates effective for dates of service on and after January 1, 2017:

The following JL Local Coverage Articles have been revised:

December 8, 2016

The following JL Draft Local Coverage Determination (LCD) posted for comment on March 3, 2016 and September 17, 2015 and presented at the October 2015 Contractor Advisory Committee (CAC) Meeting has been posted for notice. It will become effective February 1, 2017.

In response to comments that were received during the initial comment period (May 19, 2016 – July 7, 2016), the following JL Draft Local Coverage Determination (LCD) has undergone additional revisions and is being posted for another comment period. Due to system limitations, the draft has been assigned a new DL number. The comment period will end on January 30, 2017.

The following JL Draft Local Coverage Determination (LCD) which was posted for comment on May 19, 2016 will not be finalized due to revisions based on comments received and has been retired effective December 7, 2016. Please refer to DL36999 above posted for comment on December 8, 2016.

The following JL Local Coverage Determinations (LCDs) have been revised:

December 1, 2016

The following JL Local Coverage Determinations (LCDs) which were posted for notice on October 13, 2016 are now effective:

The following JL Local Coverage Articles have been revised:

November 10, 2016

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Article has been added:

The following JL Local Coverage Article has been revised:

November 3, 2016

The comment period is now closed for the JL Draft Local Coverage Determinations (LCDs) listed below. Comments received will be reviewed by our Contractor Medical Directors and a summary comment and response document will be posted to our website when the final LCDs are posted for notice.

October 27, 2016

The comment period will close on November 3, 2016 for the following JL Draft Local Coverage Determinations (LCDs):

October 24, 2016

The following JL Local Coverage Article which was posted for notice on September 8, 2016 is now effective:

October 13, 2016

The following JL Local Coverage Determinations have been revised:

The following JL Local Coverage Articles have been revised:

The following JL Draft Local Coverage Determinations (LCDs) posted for comment on May 19, 2016 and presented at the June 2016 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective December 1, 2016:

The following JL Draft Local Coverage Determination (LCD) is not being finalized at this time. Please continue to watch our website for further updates:

September 29, 2016

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual ICD-10-CM Code Updates effective for dates of service on and after October 1, 2016:

The following JL Local Coverage Determination (LCD) has been revised to reflect the Annual ICD-10-CM Code Updates effective for dates of service on and after October 1, 2016 and has also been revised due to an inquiry. Please refer to the Revision History Explanation for specific information:

The following JL Local Coverage Articles have been revised to reflect the Annual ICD-10-CM Code Updates effective for dates of service on and after October 1, 2016:

September 15, 2016

The following JL Draft Local Coverage Determinations (LCDs) are posted for comment. The comment period ends on November 3, 2016.

Submit Comments

The following JL Draft Local Coverage Determination (LCD) which was posted for comment on January 22, 2016 will not be finalized and has been retired effective June 1, 2016. Please refer to DL36920 posted for comment on September 15, 2016.

September 8, 2016

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Article has been revised. The revisions will become effective October 24, 2016:

August 11, 2016

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Determinations (LCDs) have been retired effective August 11, 2016:

The following JL Local Coverage Determination (LCD) has been retired in order to create a unique L number between JL and JH jurisdictions. Please refer to LCD L35032.

The following JL Local Coverage Article has been revised:

The following JL Local Coverage Articles have been added:

August 4, 2016

The following JL Local Coverage Determinations (LCDs) which were posted for notice on June 16, 2016 have been revised and are now effective:

The following JL Local Coverage Determination (LCD) which was posted for notice on June 16, 2016 is now effective:

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Determination (LCD) has been retired effective August 4, 2016:

The following JL Local Coverage Article has been added:

July 14, 2016

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

The following JL Local Coverage Article has been added:

July 11, 2016

The following JL Local Coverage Article is now effective:

July 8, 2016

The comment period is now closed for the JL Draft Local Coverage Determinations (LCDs) listed below. Comments received will be reviewed by our Contractor Medical Directors and a summary comment and response document will be posted to our website when the final LCDs are posted for notice.

June 30, 2016

The comment period will close on July 7, 2016 for the following JL Draft Local Coverage Determinations (LCDs):

June 16, 2016

The following JL Draft Local Coverage Determinations (LCDs) posted for comment on January 22, 2016 and presented at the February 2016 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective August 4, 2016:

The following JL Draft Local Coverage Determination (LCD) is not being finalized at this time. Please continue to watch our website for further updates:

June 9, 2016

The following JL Local Coverage Determinations have been revised:

The following JL Local Coverage Article has been revised and will become effective July 11, 2016.  Please refer to the current version of this article until this version becomes effective:

The following JL Local Coverage Article has been revised:

The following JL Provider Bulletin has been added:

June 3, 2016

The following JL Local Coverage Determination has been revised:

The following JL Draft Local Coverage Determination has been retired effective May 19, 2016:

May 19, 2016

The following JL Draft Local Coverage Determinations (LCDs) are posted for comment. The comment period ends on July 7, 2016.

Submit Comments

The following JL Local Coverage Determination has been revised:

May 12, 2016

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Articles have been revised:

The following JL Local Coverage Articles have been added:

The following JL Local Coverage Article has been retired:

May 2, 2016

The following JL Local Coverage Article became effective on May 1, 2016:

April 22, 2016

The comment period is now closed for the following JL Draft Local Coverage Determination (LCD):

April 21, 2016

The following JL Local Coverage Determinations (LCDs) have been revised:

April 14, 2016

The following JL ICD-10 Local Coverage Determinations have been revised:

The following JL Local Coverage Article has been added and will become effective May 1, 2016:

The comment period will close on April 21, 2016 for the following JL Draft Local Coverage Determination (LCD):

April 13, 2016

Looking for retired Local Coverage Determinations (LCDs) or retired Local Coverage Articles?

Links to the retired LCDs and retired Articles have been added to our Medical Policy Center home page. If you are looking for an LCD or Article that was retired on September 30, 2015 or after please follow the links below. If you are looking for an LCD or Article that was retired prior to September 30, 2015 please visit the MCD Archive Site at MCD Archive Site.

April 11, 2016

The following JL Local Coverage Determination (LCD) which was posted for notice on February 25, 2016 is now effective:

April 07, 2016

The following JL Local Coverage Determinations (LCDs) which were posted for notice on February 19, 2016 are now effective:

The following JL Local Coverage Determinations (LCDs) which were posted for notice on February 19, 2016 have been revised and are now effective:

Comments received during the comment period are still being considered for the following JL Draft LCDs. Please continue to watch our website for further updates:

The following JL Local Coverage Articles have been revised:

The following JL LCD has been retired effective April 6, 2016:

March 24, 2016

The following JL Local Coverage Determinations have been revised:

March 17, 2016

The following JL Local Coverage Article which was posted for notice on January 28, 2016 is now effective:

March 11, 2016

The comment period is now closed for the following JL Draft Local Coverage Determinations (LCDs):

March 10, 2016

The following JL Local Coverage Determinations have been revised:

The following JL Local Coverage Article has been revised:

March 3, 2016

In response to comments that were received during the initial comment period (September 17, 2015 - November 5, 2015), the following JL Draft Local Coverage Determination (LCD) has undergone additional revisions and is being posted for another comment period. The comment period will end on April 21, 2016:

The current comment period will close on March 10, 2016 for the following JL Draft Local Coverage Determinations (LCDs):

February 25, 2016

The following JL Local Coverage Determination (LCD) is the final version of L36055 that was posted for notice on November 5, 2015 and placed on hold on December 31, 2015.  The policy has been assigned the new LCD number indicated below and is posted for notice.  It will become effective on April 11, 2016.

February 19, 2016

The following JL Draft Local Coverage Determinations (LCDs) posted for comment on September 17, 2015 and presented at the October 2015 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective April 7, 2016:

Comments received during the comment period are still being considered for the following JL Draft LCDs. Please continue to watch our website for further updates:

The following JL Draft LCD is not being finalized at this time. Please continue to watch our website for further updates:

The following JL Local Coverage Determinations have been revised:

The following JL Local Coverage Article has been added:

February 11, 2016

The following JL ICD-10 Local Coverage Determinations have been revised:

The following JL ICD-10 Local Coverage Articles have been revised:

January 28, 2016

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2016:

The following JL MAC LCDs have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2016 and has also been revised due to a reconsideration request:

The following JL MAC Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS code updates effective for dates of service on and after January 1, 2016:

The following JL MAC Local Coverage Article has been revised to reflect the Annual CPT/HCPCS code update and posted for notice. It will become effective March 17, 2016:

January 22, 2016

The following JL Draft Local Coverage Determinations (LCDs) are posted for comment. The comment period ends on March 10, 2016.

Submit comments

December 31, 2015

The following JL Local Coverage Determinations (LCDs) which were posted for notice on November 5, 2015 are now effective:

The following JL Local Coverage Determinations (LCDs) which were posted for notice on November 5, 2015 have been revised and are now effective:

The following JL LCD has been placed on hold and will not become effective December 31, 2015. This LCD will become effective at a later date. Please continue to watch our website for updates:

The following JL LCDs have been retired effective December 30, 2015:

The following JL Local Coverage Articles have been retired effective December 30, 2015:

The release of the Local Coverage Determinations (LCDs) and Articles revised based on the 2016 annual coding update has been delayed. The revised LCDs and Articles will be available on January 28, 2016 on the Medicare Coverage Database and the Novitas web site within the Medical Policy Center under the Active LCDs (Local Coverage Determinations) and Active Local coverage Billing & Coding Articles links. We apologize for any inconvenience.

JL - LCDs affected by the 2016 Annual HCPCS/CPT Update

JL - Local Coverage Articles Affected by the 2016 Annual HCPCS/CPT Update

December 10, 2015

The following JL ICD-10 Local Coverage Determinations have been revised:

The following JL ICD-10 Local Coverage Article has been revised:

November 13, 2015

The following JL ICD-10 Local Coverage Determinations have been revised:

The following JL ICD-10 Local Coverage Articles have been revised:

November 6, 2015

The comment period is now closed for the following JL Draft Local Coverage Determinations (LCDs):

November 5, 2015

The following JL Draft LCDs posted for comment on May 14, 2015 and presented at the June 2015 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective December 31, 2015:

Comments Received and Contractor Responses

October 30, 2015

The comment period will close on November 5, 2015 for the following JL Draft Local Coverage Determinations (LCDs):

October 29, 2015

The following JL ICD-10 Local Coverage Determinations have been revised:

October 16, 2015

The following JL ICD-10 Local Coverage Determinations have been revised:

The following JL LCD has been retired effective October 1, 2015:

The following JL Local Coverage Article has been retired effective October 1, 2015:

October 8, 2015

The following JL ICD-10 Local Coverage Determinations (LCDs) have been revised:

The following JL ICD-10 Local Coverage Article has been revised:

September 17, 2015

The following JL Draft Local Coverage Determinations (LCDs) are posted for comment. The comment period ends on November 5, 2015. Please note that the Draft LCDs will not become effective until after ICD-10 is implemented. Therefore, all Draft LCDs are in ICD-10 format.

The following JL Local Coverage Determination (LCD) has been revised:

September 11, 2015

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Article has been revised:

August 14, 2015

The following JL Local Coverage Determinations (LCDs) which were posted for notice on June 25, 2015 are now effective:

The following JL Local Coverage Determination (LCD) which was posted for notice on June 25, 2015 has been revised and is now effective:

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL LCDs have been retired effective August 12, 2015:

The following JL LCD has been posted for notice and will be effective October 1, 2015:

Additional information/Comments Received and Contractor Responses

The following JL Local Coverage Article has been revised and is now effective:

The following JL Articles have been revised:

The following JL Article has been posted for notice and will become effective October 1, 2015 and will replace Local Coverage Article A53460:

The following JL Article has been added and will be effective October 1, 2015:

July 16, 2015

The following JL Local Coverage Article has been revised. It will become effective August 13, 2015:

July 10, 2015

The comment period is now closed for the following JL Draft Local Coverage Determinations (LCDs):

July 9, 2015

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL LCD has been retired:

The following JL Local Coverage Articles have been revised:

The following JL Local Coverage Article has been added:

July 2, 2015

The comment period will close on July 9, 2015 for the following JL Draft Local Coverage Determinations (LCDs):

Please note that the Draft LCDs will not become effective until after ICD-10 is implemented. Therefore, all Draft LCDs are in ICD-10 format.

June 25, 2015

Due to system limitations, between June 25, 2015 and August 12, 2015, the following JL Local Coverage Determinations (LCDs) accessed through the policy search application are future LCDs that will become effective on August 13, 2015: L27487, L27532 and L31399. During this time period, the active (current) versions of these LCDs can be accessed below or on the Full Index of Current Active LCDs and Future Effective LCDs.

The following JL Draft LCDs posted for comment on January 15, 2015 and presented at the February 2015 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective August 13, 2015:

The following JL Draft LCD posted for comment on January 26, 2015 and presented at the February 2015 CAC Meeting has been posted for notice. It will become effective August 13, 2015.

Comments Received and Contractor Responses

The following JL Draft LCDs will not be finalized at this time. Please continue to watch our website for further updates.

The following JL LCDs have been revised:

The following JL Local Coverage Article has been added:

May 21, 2015

The following JL Local Coverage Bulletin has been revised:

May 14, 2015

The following JL Draft Local Coverage Determinations (LCDs) are posted for comment. The comment period ends on July 9, 2015. Please note that the Draft LCDs will not become effective until after ICD-10 is implemented. Therefore, all Draft LCDs are in ICD-10 format.

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Provider Bulletin has been retired effective May 6, 2015. For dates of service on and after May 7, 2015, please reference Article A54099, Compounded Drugs Used in an Implantable Infusion Pump.

May 7, 2015

The following JL Local Coverage Article has been revised and is now effective:

May 1, 2015

The technical issues have been resolved for the following revised JL Local Coverage Determination (LCD). The current version of this LCD is now accessible through our Search function and the link below:

April 30, 2015

The following JL Local Coverage Determination (LCD) has been revised; however, due to technical issues it is temporarily not available through our Search function. Please reference the below link until the issue is resolved:

April 23, 2015

The following JL Local Coverage Article has been revised and will become effective May 7, 2015:

April 9, 2015

The following JL Local Coverage Determination (LCDs) which were posted for notice on February 20, 2015 are now effective:

The following JL MAC Local Coverage Determination (LCDs) which were posted for notice on February 20, 2015 are now effective.  These LCDs have also been revised:

The following JL LCD has been retired effective April 8, 2015 for dates of service on and after April 9, 2015:

The following JL Local Coverage Articles have been added:

The following JL Local Coverage Article has been revised:

March 19, 2015

The comment period for the following JL Draft Local Coverage Determination (LCD) ends today:

The following JL Local Coverage Article has been added.  It will become effective May 7, 2015:

March 12, 2015

The following JL Local Coverage Determinations (LCDs) have been revised:

The following JL Local Coverage Article has been revised:

The following JL Local Coverage Article has been added:

March 6, 2015

The comment period is now closed for the JL Draft Local Coverage Determinations (LCDs) listed below. The comments received are being reviewed by our Contractor Medical Directors.

Novitas will accept comments for the following draft until March 19, 2015:

February 27, 2015

The comment period will close on March 5, 2015 for the following JL Draft Local Coverage Determinations (LCDs):

Please Note: As previously communicated Novitas will accept comments for the following draft until March 19, 2015:

February 20, 2015

Due to system limitations, between February 20, 2015 and April 8, 2015, the following JL Local Coverage Determinations (LCDs) accessed through the policy search application are future LCDs that will become effective on April 9, 2015. The active (current) LCDs can be accessed below or by the Full Index of Current Active LCDs and Future Effective LCDs.

The following JL Draft LCDs posted for comment on September 18, 2014 and presented at the October 2014 Contractor Advisory Committee (CAC) Meeting have been posted for notice. They will become effective April 9, 2015.

The following JL Draft LCD posted for comment on May 15, 2014 and presented at the June 2014 CAC Meeting has been posted for notice. It will become effective April 9, 2015.

Comments Received and Contractor Responses

The following JL draft will not be finalized at this time. Please continue to watch our website for further updates.

February 12, 2015

The following JL LCDs have been revised:

The following JL Article has been revised:

January 26, 2015

The draft Local Coverage Determination (LCD) DL33638, Biomarkers Overview has been reposted to the Novitas Solutions Website for comments. If you are interested in presenting on the Biomarkers Overview policy at the Open Meeting on Thursday, January 29, 2015, please contact us immediately by submitting an online registration or notification through e-mail to: Karen.ryan@novitas-solutions.com.

For more details on the Open Meeting, please click here.

Note: The Draft LCD DL33638 will not be available on the Medicare Coverage Database until Thursday January 29, 2015. Due to the delay in posting, the comment period for this draft will be extended until March 19, 2015. We apologize for any inconvenience.

January 23, 2015

The following JL Local Coverage Determinations (LCDs) have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2015:

The following JL LCD has been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2015 and has also been revised due to a reconsideration request:

The following JL Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS code updates effective for dates of service on and after January 1, 2015:

The following JL Article has been retired effective for dates of service on or after July 1, 2014. Please refer to National Coverage Determination (NCD) 150.3 (Bone Mass Measurement) for details regarding coverage.

January 15, 2015

Draft LCD DL33638, Biomarkers Overview, was posted for comment in error. We are in the process of having the draft LCD removed from both the Medicare Coverage Database and from the Novitas web site. Please continue to watch our web site for further information. We apologize for the inconvenience.

The following JL Draft Local Coverage Determinations are posted for comment. The comment period ends on March 5, 2015.

January 13, 2015

Please be advised that due to the holiday on 01/19/2015, the 2015 HCPCS/CPT Annual Updates will be available on the Novitas Website and the Medicare Coverage Database on 01/23/2015.

January 5, 2015

The release of the Local Coverage Determinations (LCDs) and Articles revised based on the 2015 annual coding update has been delayed. The revised LCDs and Articles will be available on January 22, 2015 on the Medicare Coverage Database and the Novitas web site within the Medical Policy Center under the Latest LCD Updates & Update History link. We apologize for any inconvenience.

 JL - LCDs affected by the 2015 Annual HCPCS/CPT Update

JL - Local Coverage Articles Affected by the 2015 Annual HCPCS/CPT Update

December 11, 2014

The following JL LCDs have been revised:

December 4, 2014

The following JL Local Coverage Determinations (LCDs) which were posted for notice on October 9, 2014 are now effective:

The following JL Local Coverage Article has been revised:

The following JL LCDs have been retired effective December 3, 2014:

November 14, 2014

The following JL Local Coverage Article has been added:

The following JL LCDs have been revised:

The following JL Local Coverage Articles have been revised:

The comment period is now closed for the JL Draft Local Coverage Determination (LCD) listed below. The comments received are being reviewed by our Contractor Medical Directors.

November 7, 2014

The comment period is now closed for the JL Draft Local Coverage Determinations (LCDs) listed below. The comments received are being reviewed by our Contractor Medical Directors

November 3, 2014

The comment period will close on November 6, 2014 for the following JL Draft Local Coverage Determinations (LCDs):

Please Note: As previously communicated Novitas will accept comments for the following draft until November 13, 2014:

October 9, 2014

Due to system limitations, between October 9, 2014 and December 3, 2014 the following JL LCDs accessed through the policy search application are future LCDs that will become effective on December 4, 2014. The active (current) LCDs can be accessed below or by the following link. Full Index of Current Active LCDs and Future Effective LCDs

The following JL Local Coverage Determinations have been posted for notice. They will become effective December 4, 2014:

The following JL drafts are not being finalized at this time. The current active LCDs will remain in effect.

The following JL LCDs have been revised:

The following JL Articles have been revised:

September 30, 2014

Technical Issues with JL Local Coverage Determinations (LCDS)

Due to technical issues, the following LCDs, which are currently in effect, are not displaying on Novitas Solutions website or the Medicare Coverage Database. This issue is being corrected with an anticipated resolution date of October 2, 2014.

September 25, 2014

The following JL Local Coverage Determination (LCD) has been retired effective September 17, 2014:

September 18, 2014

The following JL Draft Local Coverage Determinations are posted for comment. The comment period ends on November 6, 2014:

Please Note: Draft LCD DL27496 (see link below) is currently not displaying on the Medicare Coverage Database (MCD). The draft is available for review and comment on the Novitas Website and will display on the MCD September 25. Due to the delay in the draft displaying on the MCD, Novitas will accept comments for this draft until November 13, 2014.

September 11, 2014

The following JL LCDs have been revised:

August 14, 2014

The following JL LCDs have been revised:

The following JL Articles have been revised:

July 24, 2014

The following JL Local Coverage Determinations (LCDs) which were posted for notice on June 5, 2014 are now effective:

The following JL LCD has been revised:

The following JL LCDs have been retired effective July 23, 2014:

The following JL Local Coverage Article which was posted for notice on June 5, 2014 is now effective:

The following JL Local Coverage Article has been added:

The following JL Local Coverage Articles have been revised:

The following JL Local Coverage Article has been retired effective July 23, 2014:

July 11, 2014

The comment period is now closed for the following JL MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.

July 10, 2014

The following JL Local Coverage Determinations (LCDs) have been revised:

July 3, 2014

The comment period will close on July 10, 2014 for the following JL Draft Local Coverage Determinations (LCDs):

June 27, 2014

The JL MAC draft LCD L34794 Hyperbaric Oxygen (HBO) Therapy scheduled to become effective on 07/24/2014 has been placed on hold. Therefore, the current JL LCD L32018 will remain effective.

June 26, 2014

The following JL Local Coverage Determinations (LCDs) have been revised:

June 12, 2014

The following JL Local Coverage Determinations (LCDS) have been revised:

The following JL Local Coverage Articles have been revised:

June 5, 2014

The following JL Local Coverage Determinations have been posted for notice. They will become effective July 24, 2014:

The following JL LCDs have been revised to create uniform LCDs with the corresponding Novitas Solutions JH LCDs.  The following LCDs will also become effective July 24, 2014:

Through the creation of uniform LCDs across Novitas MAC jurisdictions several of the revised LCDs have been assigned new LCD numbers. The current associated LCDs will be retired when the new LCDs become effective.

The following JL Local Coverage Article has been posted for notice. It will become effective July 24, 2014:

May 15, 2014

The following JL MAC Draft Local Coverage Determinations are posted for comment. The comment period ends on July 10, 2014:

May 8, 2014

The following JL MAC Local Coverage Determinations (LCDs) have been revised:

The following JL MAC Articles have been revised:

The following JL MAC LCD has been retired effective May 8, 2014:

The following JL MAC LCD has been retired effective for dates of service on or after 12/05/2013:

March 27, 2014

The following JL MAC Local Coverage Determinations (LCDs) which were posted for notice on February 6, 2014 are now effective:

The JL MAC draft LCD L27547 Wound Care and Cellular and/or Tissue-Based Products for Wounds scheduled to become effective on 3/27/2014 has been placed on hold. Therefore, the LCD has been reverted back to the version effective prior to the 3/27/2014 revisions and has been revised for dates of service on and after 01/01/2014 to reflect the annual CPT/HCPCS code updates.

The following JL MAC Local Coverage Determination (LCD) which was posted for notice on February 6, 2014 is now effective.  This LCD has also been revised:

The following JL MAC LCDs have been retired effective March 26, 2014 for dates of service on and after March 27, 2014:

The following JL MAC Article has been retired effective March 26, 2014 for dates of service on and after March 27, 2014:

March 13, 2014

The following JL MAC Local Coverage Determinations (LCDs) have been revised:

March 7, 2014

The comment period is now closed for the JL MAC Draft Local Coverage Determinations (LCDs) listed below. The comments received are being reviewed by our Contractor Medical Directors.

March 6, 2014

The comment period will close at the end of the day today for the following JL MAC Draft Local Coverage Determinations (LCDs):

February 27, 2014

The following JL MAC Local Coverage Determinations (LCDs) have been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2014:

The following JL MAC LCD has been revised to reflect the Annual CPT/HCPCS Code updates effective for dates of service on and after January 1, 2014 and has also been revised due to a reconsideration request:

The following JL MAC Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS code updates effective for dates of service on and after January 1, 2014:

February 12, 2014

REVISED ALERT

Local Coverage Determinations (LCDs) Affected by the 2014 Annual HCPCS/CPT Update

The release of the LCDs and Articles revised based on the 2014 annual coding update has been delayed. The revised LCDs and Articles will be available on February 27, 2014 on the Medicare Coverage Database and the Novitas web site within the Medical Policy Center under the Latest LCD Updates & Update History link. We apologize for any inconvenience.

LCDs and Articles affected by the 2014 annual coding updates:

February 6, 2014

The following JL MAC Local Coverage Determinations (LCDs) have been posted for notice. They will become effective March 27, 2014:

Comments Received and Contractor Responses

The following JL MAC Local Coverage Determination (LCD) has been posted for notice and will become effective March 27, 2014:

The following JL MAC LCDs have been revised to create uniform LCDs with the corresponding Novitas Solutions JH MAC LCDs.  The following LCDS will also become effective March 27, 2014:

JANUARY 16, 2014

The following JL Draft Local Coverage Determinations are posted for comment. The comment period ends on March 6, 2014:

JANUARY 9, 2014

The following JL articles have been retired:

JANUARY 2, 2014

JL Local Coverage Determinations (LCDs) Affected by the 2014 Annual HCPCS/CPT Update

The following list of LCDs and Local Coverage Articles (Articles) are currently under revision based on the 2014 annual coding update. The revisions will be effective for dates of service on and after January 1, 2014. The revised LCDs and Articles will be available for review February 13, 2014 on the Medicare Coverage Database and the Novitas web site within the Medical Policy Center under the Latest LCD Updates & Update History link.

December 5, 2013   

The following JL MAC Local Coverage Determinations (LCDs) which were posted for notice on
October 10, 2013 are now effective:

The following JL MAC Local Coverage Determinations (LCDs) have been revised:

November 21, 2013

The following JL MAC LCD has been retired effective for dates of service on and after 11/01/2013:

The following JL MAC Article has been retired effective for dates of service on and after 11/01/2013:

November 8, 2013

The comment period is now closed for the following JL MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.

November 4, 2013

The comment period will close on November 7, 2013 for the following JL MAC Draft Local Coverage Determinations (LCDs):

October 31, 2013

The Jurisdiction L Local Coverage Determinations (LCDs) listed below have been retired effective for dates of service on and after November 1, 2013.  In the absence of a Local Coverage Determination (LCD), National Coverage Determination (NCD), or CMS Manual Instruction, Reasonable and Necessary guidelines still apply.  Section 1862(a)(1)(A) of the Social Security Act (SSA) directs the following:

“No payment may be made under Part A or Part B for any expenses incurred for items or services not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.”

Therefore, to be considered “reasonable and necessary” the patient’s medical record must clearly document all of the following:

For any service reported to Medicare, it is expected that the medical record documentation clearly demonstrates that the service meets all of the above criteria.  All documentation must be maintained in the patient’s medical record and be available to the contractor upon request.

LCDs retired effective for dates of service on and after November 1, 2013:

October 10, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been posted for notice. They will become effective December 5, 2013:

Comments Received and Contractor Responses

Local Coverage Determination (LCD) L34495 Bariatric Surgical Management of Morbid Obesity is posted for notice and will become effective on December 5, 2013.

Local Coverage Determination (LCD) L33077, Bariatric Surgical Management of Morbid Obesity, was retired and did not become effective. Please refer to L34495 above.

September 17, 2013

The following JL MAC Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period ends on November 7, 2013:

The following JL MAC Draft LCD which was posted for comment on May 28, 2013 will not be finalized and is retired effective September 16, 2013.  Please refer to DL27547 posted for comment on September 17, 2013 (see above):

August 29, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been revised:

The following JL MAC Article has been revised:

August 1, 2013

The following JL MAC Local Coverage Determinations (LCDs) which were posted for notice on June 13, 2013 are now effective:

The following JL MAC Local Coverage Determination (LCD) is on hold and did not become effective.  When the policy is finalized, it will be posted for a 45 day notice period before becoming effective. 

The following JL MAC Article has been added:

The following JL MAC LCD has been retired effective for dates of service on and after 08/01/2013:

The following JL MAC draft LCD has been retired effective 08/01/2013:

July 19, 2013

The comment period is now closed for the following JL MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.

July 15, 2013

The comment period will close on July 18, 2013 for the following JL MAC Draft Local Coverage Determinations (LCDs):

Submit Comments

July 11, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been revised:

The following JL MAC Local Coverage Determination (LCD) has been retired effective for dates of service on and after January 18, 2013:

June 20, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been revised: 

June 13, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been posted for notice. They will become effective August 1, 2013:

Comments Received and Contractor Responses 

The following JL MAC draft LCD is on hold. When it is finalized, it will be posted for a 45-day notice period before becoming effective:

May 28, 2013

The following JL MAC Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period ends on July 18, 2013: 

The following JL MAC draft Local Coverage Determination (LCD) has been retired effective May 27, 2013.  Refer to DL33640 (above) for the current draft LCD posted for comment:

May 9, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been revised: 

April 4, 2013

The following JL MAC Local Coverage Determinations (LCDs) which were posted for notice on February 14, 2013 are now effective: 

March 28, 2013 

Local Coverage Determination (LCD) Search Function

Our LCD search function has been improved! Many of our LCDs previously included procedure code ranges. These ranges decreased the reliability of search results when searching for an LCD by procedure code. All procedure code ranges have been removed from the LCDs and replaced with the individual codes. Please note that not every procedure code is included in an LCD.

When searching for an LCD we suggest the use of the Policy Search function found on the top of the Novitas Solutions home page.

A complete listing of all the JL LCDs can be found in the Medical Policy Center under Current Active LCDs J12. 

March 22, 2013

The comment period is now closed for the following JL MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.

February 15, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been revised: 

The following JL MAC Local Coverage Articles have been revised to reflect the Annual CPT/HCPCS Code Updates effective for dates of service on and after January 1, 2013: 

February 14, 2013

The following JL MAC Local Coverage Determinations (LCDs) have been posted for notice. They will become effective April 4, 2013:

Comments Received and Contractor Responses 

The draft LCD DL32943; Anorectal Manometry, Anal Electromyography, and Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters; will not be finalized until after the comments are received and reviewed from the Jurisdiction H (JH) version of this LCD which is currently posted for comment. The comment period ends for the JH LCD on March 20, 2013. 

January 29, 2013

The following JL MAC Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period ends on March 20, 2013:

January 9, 2013

The following MAC JL Local Coverage Determination (LCD) has been revised:

December 28, 2012

The following Provider Bulletin has been issued for MAC JL:

December 21, 2012

The following MAC J12 Local Coverage Determinations (LCDs) have been revised:

November 16, 2012

The following MAC JL Local Coverage Article has been revised:

November 15, 2012

The comment period is now closed for the following MAC JL Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.

The following MAC JL Local Coverage Determinations (LCDs) which were posted for notice on September 27, 2012 are now effective:

This following MAC JL Local Coverage Determination (LCD) is on hold and did not become effective.  When the policy is finalized, it will be posted for a 45 day notice period before becoming effective. 

November 6, 2012

Due to "Hurricane Sandy," the comment period for the following MAC JL Draft Local Coverage Determinations (LCDs) has been extended to Wednesday, November 14, 2012:

November 2, 2012

The comment period will close on November 7, 2012 for the following MAC JL Draft Local Coverage Determinations (LCDs):

October 29, 2012

MAC JL Self-Administered Drug Exclusion List Revised

Jurisdiction L Article A47773, Local Coverage Article for Self-Administered Drug Exclusion List, has been revised to clarify the injection frequency parameters and to add the Provistin VR and Fortical brand names. No changes were made to the exclusion list.

September 27, 2012

The following MAC JL Local Coverage Determinations (LCDs) have been posted for notice. They will become effective November 15, 2012:

Comments Received and Contractor Responses

September 18, 2012

The following JL MAC Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period ends on November 7, 2012:

July 11, 2012

The following JL MAC Local Coverage Determinations (LCDs) have been revised:

July 9, 2012

The following JL MAC Local Coverage Determinations (LCDs) which were posted for notice on May 17, 2012 are now effective:

July 6, 2012

The comment period is now closed for the following JL MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.

July 2, 2012

The comment period will close on July 5, 2012 for the following MAC JL Draft Local Coverage Determinations (LCDs):

June 18, 2012

The following MAC JL Local Coverage Determination (LCD) has been retired effective for dates of service on and after June 14, 2012:

June 13, 2012

The following MAC JL Local Coverage Determinations (LCDs) have been revised:

The following Local Coverage Article has been revised:

May 17, 2012

The following MAC JL Local Coverage Determinations (LCDs) have been posted for notice. They will become effective July 9, 2012: 

Comments Received and Contractor Responses

May 15, 2012

The following MAC JL Draft Local Coverage Determinations (LCDs) have been posted for comment. The comment period ends on July 5, 2012:

The following MAC JL Local Coverage Determinations (LCDs) have been revised:

April 12, 2012

The following Local Coverage Determinations (LCDs) which were posted for notice on February 20, 2012 are now effective: 

The following Local Coverage Determinations (LCDs) have been revised:   

The following Local Coverage Article has been revised: 

April 2, 2012

Local Coverage Determination (LCD) Updates: