Coverage Determinations

Medicare National Coverage Determinations (NCD) and Local Coverage Determinations (LCD)

Clinical Laboratories of Hawaii, LLP, provides the following links for national and local policies which cover diagnostic laboratory tests under Medicare Part B.

These links are from the Centers for Medicare & Medicaid Services (CMS) website.

Medicare National Coverage Determinations (NCD) - Coding Policy Manual and Change Report - January, 2013    

https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/Downloads/manual201301.pdf 

 

The following link will provide a quick look up of coverage code (IDC-9 code) guidance for lab procedures, LCDs, and NCDs.

http://www.cms.gov/medicare-coverage-database/staticpages/icd-9-code-lookup.aspx

 

The Medicare Coverage Database (MCD) contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs).

http://www.cms.gov/medicare-coverage-database/overview-and-quick-search.aspx

 

The Medicare Coverage Center:

https://www.cms.gov/Center/Special-Topic/Medicare-Coverage-Center.html