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Local Coverage Determinations (LCDs)

Draft Local Coverage Determinations - Review and comment on draft LCDs.

Retired Medical Policies - Learn how to obtain retired (inactive) LMRPs/LCDs.
This page lists final (active) Local Coverage Determinations (LCDs) for UMD's service area. Please pay special attention to the effective date noted in each policy.

You can SEARCH the LCDs for specific keywords, or view an LCD by clicking on its title in the list below.
For national coverage policies, see the following pages on the Centers for Medicare & Medicaid Services (CMS) Web site:
NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now and you will be linked back to this page.

Policy/ Determination Title Policy/ Determination Number
Abdominal Retroperitoneal Ultrasound Posted 1/31/08

See also, Coding Guidelines for this LCD. Posted 1/31/08
R-97-1 (6A)
Abdominal Ultrasound Procedures Posted 1/31/08

See also, Coding Guidelines for this LCD. Posted 1/31/08
R-96-3 (11)
Ablation of Saphenous Vein by Radiofrequency (RF) or Laser Posted 1/31/08

See also, Coding Guidelines for this LCD. Posted 1/31/08
SU028G01
Allergy Immunotherapy Posted 9/27/05

See also, Coding Guidelines for this LCD. Posted 9/27/05
AL001E05
Alternative Medicine Posted 8/13/04
M-95-3 (1A)
Ambulatory Electrocardiographic Monitoring (Holter Monitor) Posted 1/25/08

See also, Coding Guidelines for this LCD. Posted 1/25/08
CV003G04
Anesthesia for Anorectal Procedures (Ending Effective Date: 3/28/08) Posted 3/28/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/28/08) Posted 3/28/08
AN003E02
Anesthesia for Gastrointestinal Endoscopy Posted 6/1/07

See also, Coding Guidelines for this LCD. Posted 6/1/07
AN001E05
Audiologic/Vestibular Function Tests Posted 6/16/06

See also, Coding Guidelines for this LCD. Posted 6/16/06
AU001G09
Autonomic Nervous System Function Testing Posted 4/24/06

See also, Coding Guidelines for this LCD. Posted 4/24/06
NE002G01
Baclofen Intrathecal Therapy Posted 7/25/07

See also, Coding Guidelines for this LCD. Posted 7/25/07
DR021W05
Bariatric Surgery Posted 6/8/07

See also, Coding Guidelines for this LCD. Posted 6/8/07
SU023E06
Biological Products for Wound Treatment and Surgical Interventions Posted 4/7/08

See also, Coding Guidelines for this LCD. Posted 4/7/08
SU036E00
Blepharoplasty Posted 1/31/08

See also, Coding Guidelines for this LCD. Posted 3/13/08
SU035E00
Bone Mass Measurement Posted 11/14/07

See also, Coding Guidelines for this LCD. Posted 11/14/07
RD014E04
Bortezomib (Velcade™) for Injection Posted 7/13/07

See also, Coding Guidelines for this LCD. Posted 7/13/07
DR025G04
Botulinum Toxin Type A and Type B Posted 5/24/07

See also, Coding Guidelines for this LCD. Posted 5/24/07
DR010E05
Brachytherapy Posted 10/20/05

See also, Coding Guidelines for this LCD. Posted 10/20/05
RD007E04
Breast Imaging: Mammography / Breast Echography (Sonography) / Breast MRI / Ductography Posted 11/14/07

See also, Coding Guidelines for this LCD. Posted 11/14/07
RD001E08
B-Type Natriuretic Peptide Posted 1/25/08

See also, Coding Guidelines for this LCD. Posted 1/25/08
LB010E04
Cardiac Computed Tomography and Computed Tomography Coronary Angiography (Effective Date: 8/3/07, for dates of service 2/13/07, and after.) (Ending Effective Date: 11/30/07) Posted 4/21/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 11/30/07) Posted 4/21/08
RD018E00
Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) Posted 4/21/08

See also, Coding Guidelines for this LCD. Posted 4/21/08
RD019E00
Cardiac Electrophysiology Services (EPS) Posted 3/23/06

See also, Coding Guidelines for this LCD. Posted 3/23/06
CV007E04
Cardiac Event Detection Posted 12/28/05

See also, Coding Guidelines for this LCD. Posted 12/28/05
CV008E03
Cardiac Output Monitoring by Electrical Bioimpedance Posted 4/16/04

See also, Coding Guidelines for this LCD.
CV006E04
Cardiac Rehabilitation Posted 6/7/07

See also, Coding Guidelines for this LCD. Posted 6/7/07
CV022E03
Cardiovascular Nuclear Medicine Posted 6/20/06

See also, Coding Guidelines for this LCD. Posted 6/20/06
CV004E07
Care Plan Oversight Posted 2/27/06

See also, Coding Guidelines for this LCD. Posted 6/16/06
EM003E02
Ceredase® (alglucerase) and Cerezyme® (imiglucerase) (Ending Effective Date: 4/11/08) Posted 4/21/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/21/08
DR013E02
Chelation Therapy Posted 6/7/07

See also, Coding Guidelines for this LCD. Posted 6/7/07
ME003E01
Chiropractic Services Posted 2/29/08

See also, Coding Guidelines for this LCD. Posted 12/28/07
CH001E02
Collagen Crosslinks, Any Method Posted 3/23/06

See also, Coding Guidelines for this LCD. Posted 3/23/06
LB009E03
Colonoscopy Posted 12/7/06

See also, Coding Guidelines for this LCD. Posted 12/7/06
S-96-4 (5A)
Complex Decongestive Therapy (CDT) Posted 3/16/04

See also, Coding Guidelines for this LCD.
PM006W00
Computed Tomography (CT Scans) Posted 6/23/06

See also, Coding Guidelines for this LCD. Posted 6/23/06
RD003E07
Consultation and Report on Referred Material Posted 8/15/05

See also, Coding Guidelines for this LCD. Posted 8/15/05
PH001E01
Continuous Glucose Monitoring Posted 5/2/06

See also, Coding Guidelines for this LCD. Posted 5/2/06
ME001W04
Coverage of Drugs for Labeled and Off-Labeled Indications (Previously known as Off-Label Coverage for FDA-Approved Drugs) Posted 3/2/07

See also, Coding Guidelines for this LCD. Posted 3/2/07
DR020G03
Critical Care Posted 9/27/05

See also, Coding Guidelines for this LCD. Posted 9/27/05
EM002E03
CT Colonography (Virtual Colonoscopy) Posted 11/17/04

See also, Coding Guidelines for this LCD. Posted 3/25/05
RD016E00
Debridement of Mycotic Nails Posted 6/15/05

See also, Coding Guidelines for this LCD. Posted 6/15/05
FC002E01
Debridement Services Posted 12/10/07

See also, Coding Guidelines for this LCD. Posted 12/10/07
SU013G05
Diagnostic Cardiac Catheterization Posted 11/24/04

See also, Coding Guidelines for this LCD. Posted 11/24/04
CV013E03
Diagnostic Nasal Endoscopy Posted 12/27/06

See also, Coding Guidelines for this LCD. Posted 12/27/06
EN001E03
Dobutamine (Dobutrex)(Home Infusion) (Ending Effective Date: 4/11/08) Posted 4/21/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/21/08
D-93-5 (1A)
Doxorubicin HCL Liposome Injection (e.g., Doxil ®) (Ending Effective Date: 4/11/08) Posted 4/21/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/21/08
D-96-1 (4A)
Electrocardiogram (ECG or EKG) Posted 4/17/06

See also, Coding Guidelines for this LCD. Posted 4/17/06
CV018E05
Endoscopy by Capsule Posted 2/15/08

See also, Coding Guidelines for this LCD. Posted 2/15/08
GI002E00
Epidural / Intrathecal Injections (For Chronic Pain Management) Posted 3/28/08

See also, Coding Guidelines for this LCD. Posted 3/28/08
SU034E01
Erectile Dysfunction, Evaluation and Treatment Posted 12/16/05

See also, Coding Guidelines for this LCD. Posted 12/16/05
GU005E00
Erythrocyte Sedimentation Rate Posted 3/23/06

See also, Coding Guidelines for this LCD. Posted 3/23/06
LB020E00
Erythropoietin Stimulating Agents (ESA) (Effective Date: 12/1/07) Posted 1/23/08

See also, Coding Guidelines for this LCD. (Effective Date: 12/1/07) Posted 1/23/08
DR033E01
Excimer Laser Treatment for Localized Mild to Moderate Plaque Psoriasis Posted 12/28/05

See also, Coding Guidelines for this LCD. Posted 12/28/05
DE001G00
Extended Ophthalmoscopy Posted 2/15/06

See also, Coding Guidelines for this LCD. Posted 2/15/06
OP006E03
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Indications Posted 5/3/06

See also, Coding Guidelines for this LCD. Posted 10/11/06
PM005E01
Eye Procedures Done in Stages or Sessions Posted 6/6/06

See also, Coding Guidelines for this LCD. Posted 6/6/06
OP015E02
Facet Joint Nerve Block Posted 3/25/08

See also, Coding Guidelines for this LCD. Posted 3/25/08
SU033E02
Filgrastim, Pegfilgrastim (e.g., Neupogen®, Neulasta™) Posted 11/13/06

See also, Coding Guidelines for this LCD. Posted 11/13/06
DR015E06
Flow Cytometry Posted 12/27/06

See also, Coding Guidelines for this LCD. Posted 12/27/06
LB015E01
Fluorescein Angiography Posted 6/16/06

See also, Coding Guidelines for this LCD. Posted 6/16/06
OP002W05
Fulvestrant (e.g., Faslodex ®) (Ending Effective Date: 4/11/08) Posted 4/28/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/28/08
DR016E03
Fundus Photography Posted 6/2/06

See also, Coding Guidelines for this LCD. Posted 6/2/06
OP003W04
General Ophthalmologic Services Posted 3/2/07

See also, Coding Guidelines for this LCD. Posted 3/2/07
M-99-3 (6A)
GM-CSF (Leukine, Sargramostim) (Ending Effective Date: 4/11/08) Posted 4/28/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/28/08
D-96-4 (5)
Gonioscopy Posted 8/22/06

See also, Coding Guidelines for this LCD. Posted 8/22/06
OP008G05
Health and Behavior Assessment/Intervention Posted 6/8/07

See also, Coding Guidelines for this LCD. Posted 6/8/07
EM005E02
Helicobacter Pylori (H. Pylori) Tests Posted 12/19/05

See also, Coding Guidelines for this LCD. Posted 12/19/05
LB002W04
Hemophilia Clotting Factors (Ending Effective Date: 4/11/08) Posted 4/28/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/28/08
DR030E00
High Sensitivity C-Reactive Protein Testing (hsCRP) Posted 11/23/05

See also, Coding Guidelines for this LCD. Posted 11/23/05
LB017W00
Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management (Ending Effective Date: 3/7/08) Posted 3/18/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/7/08) Posted 3/18/08
LB008E01
Human Immunodeficiency Virus Testing (Prognosis Including Monitoring) (Ending Effective Date: 3/14/08) Posted 3/25/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/14/08) Posted 3/25/08
LB011E02
Human Skin Equivalents (HSE) (Ending Effective Date: 3/15/08) Posted 3/25/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/15/08) Posted 3/25/08
SU011G05
Hyaluronase Polymers (Ending Effective Date: 3/20/08) Posted 3/25/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/20/08) Posted 3/25/08
DR009E04
Ibritumomab Tiuxetan Therapy (Zevalin ®) (Ending Effective Date: 3/15/08) Posted 3/25/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/15/08) Posted 3/25/08
DR018E03
Immunoassay for Bladder Cancer Posted 1/10/05

See also, Coding Guidelines for this LCD. Posted 1/10/05
LB014E00
Immunocytochemistry Posted 11/14/05

See also, Coding Guidelines for this LCD. Posted 11/14/05
LB016E00
Implanted Catheter / Pump for Drug Infusion via Intrathecal Epidural Drug Delivery Systems Posted 3/22/07

See also, Coding Guidelines for this LCD. Posted 3/22/07
SU031E03
Incision and Drainage Services (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures Posted 2/15/06

See also, Coding Guidelines for this LCD. Posted 2/15/06
SU014G03
Indocyanine Green Angiography Posted 12/16/05

See also, Coding Guidelines for this LCD. Posted 12/16/05
OP004E01
Infliximab (Ending Effective Date: 4/11/08) Posted 4/28/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/28/08
DR005E04
Initial Hospital Visits Posted 3/2/07

See also, Coding Guidelines for this LCD. Posted 3/2/07
EM007E01
Injection, Tendon Sheath, Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel Posted 4/4/06

See also, Coding Guidelines for this LCD. Posted 4/4/06
SU022E03
Intensity Modulated Radiation Therapy (IMRT) Posted 4/17/06

See also, Coding Guidelines for this LCD. Posted 4/17/06
RT001W04
Interferon Beta - 1A (Ending Effective Date: 4/11/08) Posted 4/28/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/28/08
DR017E03
Interventional Cardiology Posted 4/7/08

See also, Coding Guidelines for this LCD. Posted 4/7/08
CV020E01
Intraoperative Neurophysiological Testing (Ending Effective Date: 3/21/08) Posted 4/7/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/21/08) Posted 4/7/08
NE003E00
Intravascular Brachytherapy Posted 12/9/05

See also, Coding Guidelines for this LCD. Posted 12/9/05
RD009E01
Intravascular Ultrasound (IVUS) Posted 12/16/05

See also, Coding Guidelines for this LCD. Posted 12/16/05
CV001G03
Intravenous Immune Globulin (IVIG) Posted 4/28/08

See also, Coding Guidelines for this LCD. Posted 4/28/08
DR007E09
Ionized Calcium (Ending Effective Date: 4/11/08) Posted 4/30/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/30/08
L-96-3 (4A)
Irinotecan Hydrochloride (Camptosar) (Ending Effective Date: 4/11/08) Posted 4/30/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/30/08
D-99-4 (5A)
Kyphoplasty Posted 5/24/07

See also, Coding Guidelines for this LCD. Posted 5/24/07
OS002W05
Laser Ablation of the Prostate (Previously known as Laser Prostatectomy) Posted 11/14/07

See also, Coding Guidelines for this LCD. Posted 11/14/07
S-95-1 (5A)
Lidocaine, Intravenous (Ending Effective Date: 4/11/08) Posted 4/30/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/11/08) Posted 4/30/08
DR027E00
Lipid Profile/Cholesterol Testing Posted 1/31/08

See also, Coding Guidelines for this LCD. Posted 1/31/08
LB007E12
Low Level Laser Therapy (LLLT)/Cold Laser Therapy Posted 11/8/05

See also, Coding Guidelines for this LCD. Posted 11/8/05
PM007G00
Luteinizing Hormone-Releasing Hormone (LHRH) Analogs Posted 7/20/07

See also, Coding Guidelines for this LCD. Posted 7/20/07
DR004G05
Magnetic Imaging of the Heart (Cardiac MRI) Posted 6/23/06

See also, Coding Guidelines for this LCD. Posted 6/23/06
RD012E03
Magnetic Resonance Angiography Posted 7/20/07

See also, Coding Guidelines for this LCD. Posted 7/20/07
RD006G06
Magnetoencephalography (The MEG Scan) Posted 2/28/06

See also, Coding Guidelines for this LCD. Posted 2/28/06
NE005E00
Medically Necessary Removal of Impacted Cerumen Posted 3/23/06

See also, Coding Guidelines for this LCD. Posted 3/23/06
EN002E00
Mental Health Services Posted 8/24/07

See also, Coding Guidelines for this LCD. Posted 8/24/07
PS001E06
MOHS' Micrographic Surgery (MMS) Posted 7/24/07

See also, Coding Guidelines for this LCD. Posted 7/24/07
S-97-6 (3A)
Morphometric Analysis Posted 1/17/07

See also, Coding Guidelines for this LCD. Posted 1/17/07
LB021E00
Motion Analysis Studies Posted 10/12/05

See also, Coding Guidelines for this LCD. Posted 10/12/05
PM004E00
Nasal Punctum/Nasolacrimal Duct Dilation and Probing With or Without Irrigation Posted 12/22/05

See also, Coding Guidelines for this LCD. Posted 12/22/05
SU021G02
Navelbine (Vinorelbine Tartrate) (Ending Effective Date: 4/23/08) Posted 5/5/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/23/08) Posted 5/5/08
D-95-1 (6)
Nerve Blocks: Transforaminal Epidural Injection Posted 12/19/05

See also, Coding Guidelines for this LCD. Posted 6/16/06
SU032E00
Nerve Conduction Studies/Electromyography Posted 1/12/06

See also, Coding Guidelines for this LCD. Posted 1/12/06
NE001E05
Neuromuscular Junction Testing By Repetitive Stimulation Posted 1/25/08

See also, Coding Guidelines for this LCD. Posted 1/25/08
NE004G01
Non-Human Dermal Regeneration Template Posted 1/12/06

See also, Coding Guidelines for this LCD. Posted 1/12/06
SU029E02
Noninvasive Vascular Diagnostic Studies Posted 3/25/08

See also, Coding Guidelines for this LCD. Posted 3/25/08
VS001E13
Nonvascular Extremity Ultrasound Posted 3/27/07

See also, Coding Guidelines for this LCD. Posted 3/27/07
RD002E02
Nursing Home Services Posted 11/14/05 M-96-5 (3A)
Ocular Blood Flow Tests Posted 6/4/04

See also, Coding Guidelines for this LCD.
OP013E00
Ocular Photodynamic Therapy (OPT) Posted 6/15/05

See also, Coding Guidelines for this LCD. Posted 6/15/05
OP011E03
Ocular Photography, External Posted 2/20/06

See also, Coding Guidelines for this LCD. Posted 2/20/06
OP016E00
Ophthalmic A and B Scans Posted 12/28/05

See also, Coding Guidelines for this LCD. Posted 12/28/05
RD017E00
Ophthalmic Biometry for Intraocular Lens (IOL) Power Calculation Posted 3/9/06

See also, Coding Guidelines for this LCD. Posted 3/9/06
OP009G04
Oxaliplatin (Eloxatin™) Posted 7/6/06

See also, Coding Guidelines for this LCD. Posted 7/6/06
DR024G04
Paclitaxel, Taxol®, Taxus Brevifolia Posted 4/22/05

See also, Coding Guidelines for this LCD.
D-92-1 (11A)
Panretinal (Scatter) Laser Photocoagulation Posted 12/9/05

See also, Coding Guidelines for this LCD. Posted 12/9/05
OP005E01
Parathormone (Parathyroid Hormone, PTH, Immunoreactive PTH) Posted 1/17/06

See also, Coding Guidelines for this LCD. Posted 1/17/06
LB003E03
Pelvic and Transvaginal Ultrasound Procedures (Previously known as Pelvic Ultrasound Procedures) Posted 2/15/08

See also, Coding Guidelines for this LCD. Posted 2/15/08
R-96-4 (14)
Percutaneous Vertebroplasty Posted 5/6/05

See also, Coding Guidelines for this LCD. Posted 5/6/05
OS001W03
Phototherapy and Photochemotherapy (PUVA) Posted 4/16/04

See also, Coding Guidelines for this LCD.
M-96-9 (1A, 02/23/2004)
Physical Medicine and Rehabilitation Posted 4/28/08

See also, Coding Guidelines for this LCD. Posted 4/28/08
PM003E09
Physician Services for Certification (and Recertification) of Medicare-Covered Home Health Services Posted 12/19/05

See also, Coding Guidelines for this LCD. Posted 12/19/05
EM004E01
Postoperative Pain Management (Ending Effective Date: 4/18/08) Posted 4/30/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 4/18/08) Posted 4/30/08
AN002E02
Post-Void Residual Urine and/or Bladder Capacity by Ultrasound Posted 7/20/07

See also, Coding Guidelines for this LCD. Posted 7/20/07
GU001G06
Prostate Specific Antigen (PSA) Posted 1/17/07

See also, Coding Guidelines for this LCD. Posted 1/17/07
LB012E04
Prostatic Acid Phosphatase (PAP) (Ending Effective Date: 3/15/08) Posted 3/25/08

See also, Coding Guidelines for this LCD. (Ending Effective Date: 3/15/08) Posted 3/25/08
LB018E00
Pulmonary Function Testing Posted 11/16/07

See also, Coding Guidelines for this LCD. Posted 11/16/07
PU002E07
Pulse Oximetry Posted 12/19/05

See also, Coding Guidelines for this LCD. Posted 12/19/05
PU001W07
Radiation Therapy (Previously known as Radiation Oncology) Posted 11/19/05

See also, Coding Guidelines for this LCD. Posted 11/19/05
RD013E03
Radiofrequency Ablation in the Upper Respiratory Tract Posted 3/23/06

See also, Coding Guidelines for this LCD. Posted 3/23/06
SU027W02
RAST Type Tests Posted 2/3/06

See also, Coding Guidelines for this LCD. Posted 2/3/06
LB019W00
Rehabilitation for Patients with Visual Impairment Posted 11/8/07

See also, Coding Guidelines for this LCD. Posted 11/8/07
PM001E03
Removal of Benign Skin Lesions Posted 1/11/08

See also, Coding Guidelines for this LCD. Posted 1/11/08

See also, this article on Actinic Keratoses.
SU009E08
Respiratory Therapy Services Posted 11/8/07

See also, Coding Guidelines for this LCD. Posted 11/8/07
PU003E01
Routine Foot Care Posted 1/25/06

See also, Coding Guidelines for this LCD. Posted 1/25/06
FC001E06
Sacroiliac Joint Injection Posted 11/2/04

See also, Coding Guidelines for this LCD.
SU003W02
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) Posted 1/31/08

See also, Coding Guidelines for this LCD. Posted 1/31/08
OP014W05
Sclerotherapy for Varicose Veins of the Lower Extremities with or without Doppler/Duplex Guidance Posted 11/24/04

See also, Coding Guidelines for this LCD. Posted 11/24/04
VS003G01
Sentinel Lymph Node Biopsy Posted 11/14/05

See also, Coding Guidelines for this LCD. Posted 11/14/05
SU020E00
Serial Tonometry Posted 1/17/06

See also, Coding Guidelines for this LCD. Posted 1/17/06
OP010G03
Serum Magnesium Posted 1/11/08

See also, Coding Guidelines for this LCD. Posted 1/11/08
L-96-6 (9A)
Stress Echocardiography Posted 5/16/06

See also, Coding Guidelines for this LCD. Posted 5/16/06
CV021W04
Superficial Radiation Treatment (Grenz-Ray) Posted 12/9/05

See also, Coding Guidelines for this LCD. Posted 12/9/05
RD008E01
Surgical Treatment of Obstructive Sleep Apnea Posted 7/24/07

See also, Coding Guidelines for this LCD. Posted 8/13/07
SU026W02
Surveillance of Implantable Cartioverter Defibrillators (ICDs), Office, Web, or Non-Web Based Posted 8/15/05

See also, Coding Guidelines for this LCD. Posted 8/15/05
CV019E02
Swallow Evaluation Posted 1/25/08

See also, Coding Guidelines for this LCD. Posted 1/25/08
S-99-3 (4A)
Thyrotropin Alfa--Thyrogen Posted 7/25/07

See also, Coding Guidelines for this LCD. Posted 7/25/07
DR002W04
Tilt Table Testing, Diagnostic Posted 4/4/06

See also, Coding Guidelines for this LCD. Posted 4/4/06
CV009G01
Transesophageal Echocardiography (TEE) Posted 1/31/06

See also, Coding Guidelines for this LCD. Posted 1/31/06
M-96-3 (4)
Transrectal Ultrasound or Echography Posted 6/23/06

See also, Coding Guidelines for this LCD. Posted 12/19/05
RD010W05
Transtelephonic Spirometry Posted 3/25/08

See also, Coding Guidelines for this LCD. Posted 3/25/08
PU004E01
Transthoracic Echocardiography (TTE) Posted 6/12/07

See also, Coding Guidelines for this LCD. Posted 6/12/07
CV011E07
Treatment of Ingrown Nails Posted 3/23/06

See also, Coding Guidelines for this LCD. Posted 3/23/06
FC003E00
Trigger Point Injections Posted 3/28/08

See also, Coding Guidelines for this LCD. Posted 3/28/08
SU015W07
Troponin Posted 12/28/05

See also, Coding Guidelines for this LCD. Posted 12/28/05
L-99-1 (2A)
Unna Boot Posted 5/5/08

See also, Coding Guidelines for this LCD. Posted 5/5/08
SU002G04
Urinary Incontinence Treatment Posted 2/13/08

See also, Coding Guidelines for this LCD. Posted 2/13/08
SU019W06
Urodynamics Posted 3/13/08

See also, Coding Guidelines for this LCD. Posted 2/29/08
GU004G04
Venipuncture Necessitating Physician's Skill for Specimen Collection Posted 7/25/07

See also, Coding Guidelines for this LCD. Posted 7/25/07
SU017G02
Viral Hepatitis Serology Test Posted 2/29/08

See also, Coding Guidelines for this LCD. Posted 2/29/08
LB013E04
Visual Field Testing Posted 3/18/08

See also, Coding Guidelines for this LCD. Posted 3/18/08
OP001G07
Vitamin B-12 Coverage Posted 11/13/06

See also, Coding Guidelines for this LCD. Posted 11/13/06
D-98-4 (3A)
Water-Induced Thermotherapy Posted 10/12/05

See also, Coding Guidelines for this LCD. Posted 10/12/05
SU016E03
Zofran (Ondansetron HCL) Posted 3/31/04

See also, Coding Guidelines for this LCD.
D-91-1 (1A, 3/8/2004)

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April 23, 2008



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