Future LCDs

If a local coverage determination (LCD) contains "Coding Guidelines," they are indicated by an asterisk (*) after the MCD Number.

  • Once you access the LCD, the "Coding Guidelines" can be found under the heading, "LCD Attachments" near the end of the document.
  • Note: All CPT/HCPCS codes listed are mentioned in the LCD, but are not necessarily subject to diagnosis codes or coverage criteria.

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.

Below is a listing of the Future LCDs. All LCDs for Jurisdiction E states contain the same content/guidelines.

LCD Title CPT / HCPCS Codes Referenced
L38700 Computed Tomography Cerebral Perfusion Analysis 0042T
L38657/A58133 Implantable Continuous Glucose Monitor (I-CGM) 0446T, 0447T, 0448T
L38355 MolDX: AlloSure® or Equivalent Cell-Free DNA 81479
L37746 MolDX: Androgen Receptor Variant (AR-V7) Protein Test 81479
L38331 MolDX: Blood Product Molecular Antigen Typing 81403; 0001U; 0084U
L37750 MolDX: Melanoma Risk Stratification Molecular Testing 81599
L38339 MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease 81541; 81542
L38707 Transurethral Waterjet Ablation of the Prostate C2596, 0421T


Last Updated Thu, 12 Nov 2020 18:43:58 +0000