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Local Coverage Determination (LCD) & Articles

This Coverage page outlines Local Coverage Determinations (LCDs) and Coverage Articles.

ICD-9 Documents

States MAC-A Coverage Databases
Alabama LCDs Status of Draft LCDs Articles
Georgia LCDs Status of Draft LCDs Articles
Tennessee LCDs Status of Draft LCDs Articles
ICD-10 Future Local Coverage Determinations Effective October 1, 2015
States MAC-A Coverage Databases
Alabama Future LCDs
Georgia Future LCDs
Tennessee Future LCDs

Looking for LCDs Converted to ICD-10?

  • A list of Local Coverage Determinations (LCDs) converted to ICD-10 is available on the LCDs by Contractor Index.
  • Use the scroll box on the index to select your Medicare Administrative Contractor (MAC) and select the “Submit” button to view a list of states that the specified MAC services.
  • You can then select your MAC name from the table to view the future translated LCDs. 
  • For additional information, please view the Special Edition MLN article SE1421 How to Access Updates to ICD-10 Local Coverage Determinations in the CMS Medicare Coverage Database.
LCDs and Articles
An LCD is a decision by a Medicare Contractor whether to cover a particular service on a contractor-wide basis in accordance with Section 1862(a)(1)(A) of the Social Security Act (i.e., a determination as to whether the service is reasonable and necessary). For a complete overview of LCDs, please go to the CMS Program Integrity Manual (PUB 100-08), Chapter 13 . LCDs can be accessed from the table above or from the Medicare Coverage Database (MCD) . Retired LCDs will remain on the MCD for 90 days, and superseded versions of active LCDs will remain on the MCD for one year. After these timeframes, these documents can be accessed from the MCD Archive.
An Article is a tool to communicate certain information (e.g. billing, coding, etc.) to providers. Articles may include any newly developed educational materials, coding instructions or clarification of existing medical review related billing or claims policy. For a complete overview of Articles, please go to the CMS Program Integrity Manual (PUB 100-08), Chapter 3, Section 3.3 . Articles can be accessed from the table above or from the MCD . Retired Articles will remain on the MCD for 90 days, and superseded versions of active Articles will remain on the MCD for one year. After these timeframes, these documents can be accessed from the MCD Archive.  

Draft LCDs

When a new or revised LCD requires comment and notice, Cahaba GBA will provide a minimum comment period of 45 calendar days on the DRAFT LCD. Instructions regarding comment submissions can be found on our LCD Comment and Reconsideration page. Cahaba GBA considers all comments and revises the LCD as needed.

Once finalized, the comments and responses will be compiled into a document which will be accessible within the Final Draft LCD under the “Related Documents” section.

Cahaba GBA shall provide a minimum NOTICE period of 45 calendar days on the Final DraftLCD.

The status of a Draft LCD (denoted by the prefix ‘DL’ in the ID number), can be checked by selecting the appropriate option in the table above.

Draft LCD Open Meetings are announced on our “Calendar of Events” page.

For the latest information regarding revisions and updates to LCDs, please join our list serve and frequent the Cahaba’s What’s New page.

Medicare’s National Coverage Determinations (NCDs) can be found at National Coverage Database .

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