Navigators

Medicare Coverage Navigator

Comprehensive Medicare policy intelligence: Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), Medicare Administrative Contractor (MAC) policies, and Local Coverage Articles (LCAs) across all regions and jurisdictions. Search, filter, and monitor the full Medicare coverage landscape in one place.

Medicare Coverage Navigator

Search and browse Medicare National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and Local Coverage Articles (LCAs)

Filters
Search by policy title, keywords, or ID...
Found 12 results
Extracorporeal Photopheresis
NCDID: NCD110.4

Extracorporeal photopheresis is a technique in which a patient's white blood cells are exposed first to the drug 8-methoxypsoralen (8-MOP) and then to ultraviolet A (UVA) light.

Effective: 04-29-2012CMSNational
Cardiac Pacemaker Evaluation Services
NCDID: NCD20.8.4

Cardiac pacemaker evaluation services are necessary to determine the effectiveness of pacemaker. The evaluation may be performed by telephone monitoring services, or by direct contact with the patient.

Effective: 08-12-2013CMSNational
Molecular Diagnostic Testing
LCDID: LCD34555

This LCD addresses molecular diagnostic testing for the following conditions: Hereditary Breast and Ovarian Cancer (HBOC), Lynch Syndrome (LS), Long QT Syndrome, Cystic Fibrosis (CF), and Spinal Muscular Atrophy (SMA).

Effective: 12-31-2021Novitas Solutions, Inc.Jurisdiction H
Continuous Glucose Monitoring
LCDID: LCD38845

This LCD addresses coverage of continuous glucose monitoring (CGM) devices for beneficiaries with Type 1 or Type 2 diabetes mellitus.

Effective: 03-14-2023CGS Administrators, LLCJurisdiction 15
Billing and Coding: Molecular Pathology Procedures
LCAID: LCA59073

This article outlines billing and coding guidance for molecular pathology procedures.

Effective: 02-09-2023Palmetto GBAJurisdiction J
Billing and Coding: Nerve Conduction Studies and Electromyography
LCAID: LCA58563

This article provides billing and coding guidance for nerve conduction studies (NCS) and electromyography (EMG).

Effective: 12-14-2022National Government Services, Inc.Jurisdiction K
Outpatient Physical and Occupational Therapy Services
LCDID: LCD35008

This LCD addresses coverage of outpatient physical therapy (PT) and occupational therapy (OT) services.

Effective: 10-31-2022Wisconsin Physicians Service Insurance CorporationJurisdiction 5
Vagus Nerve Stimulation
NCDID: NCD160.18

Vagus nerve stimulation (VNS) is a pulse generator that is implanted subcutaneously and connected to the left vagus nerve. Electrical signals are sent along the vagus nerve to the brain to prevent seizures.

Effective: 05-03-2007CMSNational

NCDs, LCDs, and LCAs

Access the complete universe of Medicare coverage documents including National Coverage Determinations, Local Coverage Determinations, and Local Coverage Articles from all Medicare Administrative Contractors.

Filter by Jurisdiction

Narrow results by MAC contractor, geographic jurisdiction, policy type, and effective date to find exactly the coverage guidance relevant to your technology and market.

Monitor for Changes

Set up watchlists and alerts for specific NCDs or LCDs. Receive instant notifications when Medicare coverage policies are updated, revised, or newly published.