The Medicare Program Integrity Manual (PIM), CMS Publication 100-08, Chapter 13 directs that Medicare administrative contractors (MACs) have discretion to retire LCDs and articles at any time.
We may consider retiring LCDs and articles for the following reasons:
There is a national policy, or a national policy is developed that addresses the services or items in the LCD.
The LCD or article contains outdated technology, or the service or item is considered standard of care.
It is determined that the LCD or article is no longer being used as an educational tool.
Utilization of the service or item addressed by the LCD or article is very low.
When we determine that an LCD or article should be retired, the retired LCD or article will be published to the Medicare Coverage Database and our website. The retirement will be communicated via the Medicare News and Web Updates pages on our website and a Part A News and Part B News e-mail is sent to customers that are subscribed to the mailing list.
Please refer to the retired LCDs & articles index located on the local coverage determination page of our website for a listing of all retired LCDs and articles.
Note: Retired policies are in effect for dates of service prior to the retirement date. In the absences of an LCD, NCD, or CMS manual instruction, reasonable and necessary guidelines still apply.
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