Archive Local Coverage Determinations (LCDs)

 
 

Sort by policy number or name by clicking the column name below.

Policy No.

Policy Name

Effective Date

Archived Date

LMRP-001-95

IV Immune FINAL REVISION

11/06/01

06/01/02

LMRP-001-95a

IV Immune Globin Therapy

01/08/01

11/06/01

LMRP-001-96h

Chest X-ray

11/13/00

11/07/01

LMRP-001-96i

Chest X-ray

11/08/01

04/03/02

LMRP-001-96k

Chest X-ray

07/24/02

01/10/03

LMRP-001-96l

Chest X-Ray

01/10/03

10/01/03

LMRP-001-96m

Chest X-Ray

10/01/03

10/01/04

LMRP-001-96n

Chest X-ray

10/01/03

10/01/04

LMRP-001-96o

Chest X-ray

10/01/04

07/19/05

LMRP-002-95a

Prostate Specific Antigen

10/26/00

01/17/02

LMRP-002-95o

Prostate Specific Antigen FINAL REVISION

07/24/02

01/13/03

LMRP-002-96g

Occupational Therapy

07/24/02

10/01/03

LMRP-002-96h

Occupational Therapy

10/01/03

07/28/04

LMRP-002-96i

Occupational Therapy

07/20/97

11/07/04

LMRP-002-96j

Occupational Therapy

11/07/04

02/17/05

LMRP-003-95i

Hepatitis B

07/24/02

01/13/03

LMRP-003-95j

Hepatitis B

01/13/03

10/01/04

LMRP-003-96h

Blood Glucose Testing

01/05/01

01/18/02

LMRP-003-96i

Blood Glucose Testing

01/18/02

02/08/02

LMRP-003-96j

Blood Glucose Testing

02/08/02

04/02/02

LMRP-003-96l

Blood Glucose Testing

07/08/02

01/14/03

LMRP-003-96m

Blood Glucose Testing

02/20/97

07/22/05

LMRP-004-95f

Patient Education

01/29/95

07/25/05

LMRP-004-96a

Digoxin

10/26/00

01/17/02

LMRP-004-96k

Digoxin FINAL REVISION

07/24/02

01/13/03

LMRP-005-95

Partial Hospitalization

07/19/95

07/26/05

LMRP-005-95i

Partial Hospitalization

07/24/02

07/19/03

LMRP-005-96i

Thyroid Panel

03/19/01

11/07/01

LMRP-005-96j

Thyroid Panel

11/08/01

01/17/02

LMRP-005-96k

Thyroid Panel

01/18/02

04/02/02

LMRP-005-96m

Thyroid Panel

07/24/02

01/13/03

LMRP-006-96g

Magnesium

07/24/02

01/10/03

LMRP-006-96h

Magnesium

02/03/03

10/01/03

LMRP-006-96i

Magnesium

10/01/03

10/01/04

LMRP-006-96j

Magnesium

02/20/97

07/26/05

LMRP-007-96b

Iron Studies

03/23/01

01/17/02

LMRP-007-96i

Iron Studies FINAL REVISION

07/24/02

01/13/03

LMRP-008-96g

Ifosfamide (Ifex)

7/24/02

11/18/04

LMRP-008-96h

Ifosfamide (Ifex)

02/20/97

07/26/05

LMRP-009-96a

Glycated Protein

10/26/00

01/17/02

LMRP-009-96j

Glycated Protein FINAL REVISION

07/24/02

01/13/03

LMRP-010-96i

Calcium-Ionized

07/24/02

10/01/04

LMRP-010-96j

Calcium - Ionized

02/20/97

07/26/05

LMRP-014-96a

Electrophysiology Studies

07/24/02

10/31/02

LMRP-014-96h

EPS, Electrophysiology Studies

12/27/96

07/26/05

LMRP-016-96g

Lumbosacral Spine X-ray

07/24/02

03/19/04

LMRP-016-96h

Lumbosacral Spine X-ray

12/27/96

07/26/05

LMRP-017-96f

Lumbar Spine MRI

01/10/01

03/23/01

LMRP-017-96g

Lumbar Spine MRI

03/23/01

07/24/02

LMRP-017-96h

Lumbar Spine MRI

07/24/02

01/10/03

LMRP-017-96i

Lumbar Spine MRI

01/10/03

07/24/02

LMRP-017-96i

Lumbar Spine MRI

12/27/96

07/26/05

LMRP-018-96f

Anesthesia for Transvenous Pacemaker Insertion

12/27/96

07/26/05

LMRP-019-96f

Steroid Injections

07/24/02

10/01/04

LMRP-019-96g

Steroid Injections

10/01/04

02/11/05

LMRP-019-96h

Steroid Injections

12/27/96

07/26/05

LMRP-020-96a

Prothrombin Time

11/07/00

01/17/02

LMRP-020-96j

Prothrombin Time FINAL REVISION

07/24/02

01/13/03

LMRP-021-96h

Serum Potassium

07/24/02

01/10/03

LMRP-021-96i

Potassium

01/10/03

10/01/03

LMRP-021-96j

Potassium (Serum)

10/01/03

10/01/04

LMRP-021-96k

Potassium - Serum

12/27/96

07/27/05

LMRP-022-96h

Removal Impacted Cerumen

12/27/96

07/27/05

LMRP-023-96i

Laser Assisted Uvulopalatoplasty

11/27/96

08/03/05

LMRP-024-96f

Impotency Treatment

11/07/00

11/21/01

LMRP-024-96g

Impotency Treatment

11/22/01

04/02/02

LMRP-024-96h

Impotency Treatment

04/03/02

11/22/01

LMRP-024-96i

Impotency Treatment

07/15/02

04/03/02

LMRP-024-96i

Impotency Treatment

12/27/96

08/03/05

LMRP-025-96

Injectable Iron Preparation

05/14/03

07/19/05

LMRP-025-96i

Injectable Iron Preparation

07/24/02

05/14/03

LMRP-026-96a

Injection, Tendon Sheath, Ligament, Trigger Points

01/10/01

11/26/01

LMRP-026-96i

Injection, Tendon Sheath, Ligament, Trigger Points

12/27/96

08/04/05

LMRP-027-96h

Transthoracic Echocardiography (TTE)

07/24/02

01/10/03

LMRP-027-96i

Transthoracic Echocardiography (TTE)

01/10/03

12/05/03

LMRP-027-96j

Transthoracic Echocardiography (TTE)

12/27/96

08/03/05

LMRP-028-96g

Pelvic Echography for Prostate Follow-up

12/27/96

08/03/05

LMRP-029-96h

Pulmonary Perfusion Imaging

12/27/96

08/05/05

LMRP-031-96a

Psychiatry and Psychology Services

04/28/00

05/11/00

LMRP-031-96b

Psychiatry and Psychology Services

05/12/00

11/27/01

LMRP-031-96c

Psychiatry and Psychology Services

11/28/01

04/02/02

LMRP-031-96j

Psychiatry and Psychology Services

07/24/02

11/15/04

LMRP-031-96k

Psychiatry and Psychology Services

12/27/96

08/05/05

LMRP-032-96g

Flow Cytometry

07/24/02

12/06/05

LMRP-033-96g

Noninvasive Vascular Studies

07/24/02

01/10/03

LMRP-033-96h

Noninvasive Vascular Studies

01/10/03

07/10/03

LMRP-033-96i

Noninvasive Vascular Studies

07/10/03

07/24/03

LMRP-033-96j

Noninvasive Vascular Studies

07/24/03

12/06/05

LMRP-035-96g

Indocyanine Green Angiography

07/24/02

07/10/03

LMRP-035-96h

Indocyanine Green Angiography

07/10/03

12/06/05

LMRP-035-96h

Indocyanine Green Angiography

12/07/05

09/01/08

LMRP-036-96g

Transrectal Echography for Prostatic Disease

07/24/02

11/16/04

LMRP-037-96g

Removal of Benign Skin Lesions

12/27/96

11/16/04

LMRP-038-96g

Colonoscopy

07/23/02

11/06/02

LMRP-038-96h

Colonoscopy

11/07/02

12/06/05

LMRP-039-96g

Interventional Cardiology

07/24/02

12/06/05

LMRP-039-96g

Interventional Cardiology

12/07/05

09/01/08

LMRP-040-96f

Botulinum Toxin Type A

07/24/02

03/27/05

LMRP-040-96g

Botulinum Toxin Type A

03/29/05

12/06/05

LMRP-042-96f

Percutaneous Transluminal Angioplasty in Renal Dis

07/24/02

01/19/05

LMRP-042-96g

Percutaneous Transluminal Angioplasty in Renal Dis

01/19/05

03/01/05

LMRP-042-96h

Percutaneous Transluminal Angioplasty in Renal Dis

03/01/05

12/06/05

LMRP-042-96h

Percutaneous Transluminal Angioplasty in Renal Dis

12/07/05

09/01/08

LMRP-044-97e

Diagnostic Mammogram

11/08/00

11/08/01

LMRP-044-97f

Diagnostic Mammogram

11/08/01

11/28/01

LMRP-044-97g

Diagnostic Mammogram

11/28/01

04/02/02

LMRP-044-97i

Diagnostic Mammogram

07/22/02

01/10/03

LMRP-044-97j

Diagnostic Mammogram

01/10/03

10/01/03

LMRP-044-97k

Diagnostic Mammogram

10/01/03

02/11/05

LMRP-044-97l

Diagnostic Mammogram

02/11/05

12/06/05

LMRP-045-97a

Occult Blood, Feces Testing

11/13/00

11/07/01

LMRP-045-97b

Occult Blood, Feces Testing

11/08/01

01/17/02

LMRP-045-97c

Occult Blood, Feces Testing

01/18/02

04/01/02

LMRP-045-97m

Occult Blood - Feces

01/17/03

12/06/05

LMRP-046-97g

Leuprolide/Goserelin

07/24/02

03/31/05

LMRP-046-97h

Leuprolide/Goserelin

03/31/05

12/06/05

LMRP-047-97i

Barium Swallow (Video/Cine)

07/24/02

12/06/05

LMRP-048-97

Bacterial Culture

01/29/05

09/18/05

LMRP-048-97a

Bacterial Culture

01/05/01

11/20/01

LMRP-048-97g

Bacterial Culture

10/19/97

10/01/04

LMRP-048-97h

Bacterial Culture

10/01/04

02/14/05

LMRP-049-97f

Prostatic Acid Phosphatase (PAP)

07/24/02

01/10/03

LMRP-049-97g

Prostatic Acid Phosphatase (PAP)

01/10/03

12/07/05

LMRP-049-97g

Prostatic Acid Phosphatase (PAP)

12/08/05

09/01/08

LMRP-049-97h

Leuprolide/Goserelin

12/07/05

09/01/08

LMRP-050-97g

Syphilis Test

07/24/02

01/10/03

LMRP-050-97h

Syphilis Test

01/10/03

12/07/05

LMRP-050-97h

Syphilis Test

12/08/05

09/01/08

LMRP-051-97i

Rheumatoid Factor Test

07/24/02

01/10/03

LMRP-051-97j

Rheumatoid Factor Test

01/10/03

08/05/03

LMRP-051-97k

Rheumatoid Factor Test

08/05/03

12/07/05

LMRP-051-97k

Theumatoid Factor Test

12/08/05

09/01/08

LMRP-053-97a

Bacterial Culture, Urine

12/22/00

01/17/02

LMRP-053-97g

Bacterial Culture, Urine FINAL REVISION

07/24/02

01/13/03

LMRP-054-97h

Measurement of Bone Density

02/23/01

12/06/01

LMRP-054-97j

Measurement of Bone Density

07/24/02

01/09/03

LMRP-054-97k

Bone Density Measurement

01/09/03

07/17/03

LMRP-054-97l

Bone Denisty Measurement

07/17/03

10/01/03

LMRP-054-97m

Bone Density Measurement

10/01/03

10/01/04

LMRP-054-97n

Bone Density Measurement

01/01/98

11/09/04

LMRP-054-97o

Bone Density Measurement

11/07/04

12/07/05

LMRP-055-97g

Physical Therapy

07/24/02

06/19/03

LMRP-055-97h

Physical Therapy

06/19/03

10/01/03

LMRP-055-97i

Physical Therapy

10/01/03

10/01/04

LMRP-055-97j

Physical Therapy

01/01/98

10/28/04

LMRP-055-97k

Physical Therapy

10/01/04

11/10/04

LMRP-055-97l

Physical Therapy

01/01/98

02/01/05

LMRP-056-98e

Electrocardiogram

01/09/01

03/14/01

LMRP-056-98g

Electrocardiogram

07/24/02

10/31/02

LMRP-056-98h

Electrocardiogram

10/31/02

10/01/03

LMRP-056-98j

Electrocardiogram

10/01/03

10/01/04

LMRP-056-98k

Electrocardiogram

10/01/04

12/07/05

LMRP-057-98h

PRN Orders for Skilled Nursing Facilities

07/24/02

12/07/05

LMRP-057-98h

PRN Orders for Skilled Nursing Facilities

12/08/05

09/01/08

LMRP-058-98

Observation Room Services FINAL REVISION

02/23/01

06/01/02

LMRP-059-98h

Speech Therapy

07/24/02

07/19/03

LMRP-059-98i

Speech Therapy

07/19/03

12/17/04

LMRP-059-98j

Speech Therapy

01/01/04

02/17/05

LMRP-061-98f

Respiratory Therapy

07/24/02

10/01/04

LMRP-061-98g

Respiratory Therapy

10/01/04

11/07/04

LMRP-061-98h

Respiratory Therapy

11/07/04

03/08/05

LMRP-062-98g

Urinalysis

06/28/00

03/20/01

LMRP-062-98h

Urinalysis

03/20/01

07/24/02

LMRP-062-98i

Urinalysis

07/24/02

01/09/03

LMRP-062-98j

Urinalysis

01/09/03

05/14/03

LMRP-062-98k

Urinalysis

05/14/03

10/01/03

LMRP-062-98l

Urinalysis

10/01/03

10/01/04

LMRP-062-98m

Urinalysis

10/01/04

12/07/05

LMRP-062-98m

Urinalysis

12/08/05

09/01/08

LMRP-063-99f

Cardiac Catheterization

07/24/02

10/30/02

LMRP-063-99g

Cardiac Catheterization

10/30/02

01/09/03

LMRP-063-99h

Cardiac Catheterization

01/09/03

02/11/05

LMRP-063-99i

Cardiac Catheterization

01/20/05

12/07/05

LMRP-064-99b

Lipid Profile

02/26/01

01/17/02

LMRP-064-99f

Lipid Profile FINAL REVISION

07/24/02

01/13/03

LMRP-065-99a

HIV Testing (Diagnosis)

01/05/01

01/17/02

LMRP-065-99f

HIV Testing (Diagnostic) FINAL REVISION

07/24/02

01/13/03

LMRP-066-99a

Blood Count (CBC)

02/26/01

01/17/02

LMRP-066-99f

Blood Count (CBC) FINAL REVISION

07/24/02

01/13/03

LMRP-067-99a

CEA Carcinoembryonic Antigen

02/26/01

01/17/02

LMRP-067-99g

CEA Carcinoembryonic Antigen FINAL REVISION

07/24/02

01/13/03

LMRP-068-99e

Bladder Tumor Antigen

02/26/01

01/25/02

LMRP-068-99g

Bladder Tumor Antigen

07/24/02

01/09/03

LMRP-068-99h2

Bladder Tumor Antigen

01/09/03

12/07/05

LMRP-069-99a

Alpha-fetoprotein (APT) Tumor Antigen

02/27/01

01/17/02

LMRP-069-99g

Alpha-fetoprotein Tumor Antigen FINAL REVISION

07/24/02

01/13/03

LMRP-070-99a

CA125 Tumor Antigen

02/27/01

01/17/02

LMRP-070-99g

CA125 Tumor Antigen FINAL REVISION

07/24/02

01/13/03

LMRP-071-99a

CA15-CA27.29 Tumor Antigen

02/27/01

01/17/02

LMRP-071-99g

CA15-CA27.29 Tumor Antigen FINAL REVISION

07/24/02

01/13/03

LMRP-072-99a

CA19-9 Tumor Antigen

02/27/01

01/17/02

LMRP-072-99g

Ca 19-9 Tumor Antigen FINAL REVISION

01/18/02

01/13/03

LMRP-073-99b

hCG, Human Chorionic Gonadotropin Qualitative

03/23/01

01/17/02

LMRP-073-99h

HCG-Human Chorionic Gonadadotropin

01/17/03

10/01/04

LMRP-073-99i

HCG, Human Chorionic Gonadotropin Qualitative

10/01/04

12/07/05

LMRP-074-00a

Blepharoplasty

07/24/02

10/31/02

LMRP-074-00d

Blepharoplasty

10/31/02

12/13/05

LMRP-075-00c

Psychiatric Services-Outpatient Hospital based

09/28/00

11/10/04

LMRP-075-00d

Psychiatric Services - Outpatient Hospital Based

09/28/00

12/15/05

LMRP-076-00a

Self-administered Injectable Drugs FINAL REVISION

08/01/02

09/24/02

LMRP-077-00d

Troponin

07/24/02

12/13/05

LMRP-078-00c

Electrocardiographic Monitoring for 24 hours

07/24/02

12/13/05

LMRP-079-01a

Pulmonary Rehabilitation

03/11/03

06/10/03

LMRP-079-01b

Pulmonary Rehabilitation

06/10/03

10/01/03

LMRP-079-01c

Pulmonary Rehabilitation

10/01/03

12/05/03

LMRP-080.01c

Acute Care: Inpatient, Observation and Treatment R

06/01/02

11/09/04

LMRP-080-01a

Acute Care: Inpatient, Observation & Treatment Rm

06/01/02

01/16/03

LMRP-080-01b

Acute Care: Inpatient, Observation, Treatment Room

01/16/03

07/17/03

LMRP-080-01d

Acute Care: Inpatient, Observation, Treatment Room

11/07/04

09/08/05

LMRP-080-01e

Acute Care: Inpatient, Observation, Treatment Room

09/08/05

12/30/05

LMRP-081-01a

IVIG (Intravenous Immunoglobulin)

06/01/02

06/24/02

LMRP-081-01b

IVIG (Intravenous Immunoglobulin)

06/24/02

07/03/02

LMRP-081-01c

IVIG (Intravenous Immunoglobulin)

07/03/02

08/01/02

LMRP-081-01d

IVIG (Intravenous Immunoglobulin)

08/01/02

01/08/03

LMRP-081-01e

IVIG (Intravenous Immunoglobulin)

01/08/03

03/26/03

LMRP-081-01f

IVIG (Intravenous Immunoglobulin)

03/26/03

10/01/03

LMRP-081-01g

Intravenous Immunoglobulin

06/01/04

11/09/04

LMRP-081-01h

Intravenous Immunoglobulin

11/07/04

04/20/05

LMRP-081-01i

IVIG, Intravenous Immunoglobulin

04/01/05

02/23/06

LMRP-082-01a

Ground Ambulance

06/01/02

07/22/02

LMRP-082-01b

Ground Ambulance

07/22/02

08/01/02

LMRP-082-01c

Ground Ambulance

08/01/02

01/23/03

LMRP-082-01d

Ground Ambulance

01/23/03

02/03/03

LMRP-082-01e

Ground Ambulance

02/03/03

10/01/03

LMRP-082-01f

Ground Ambulance Services

10/01/05

02/11/05

LMRP-082-01g

Ground Ambulance

01/29/05

12/31/05

LMRP-083-02a

Rural Health Clinic

12/27/02

08/31/05

LMRP-083-02b

Rural Health Clinic

08/31/05

12/28/05

LMRP-084-02a1

Wireless Capsule Endoscopy

09/29/02

12/13/05

LMRP-085-02a1

Percutaneous Vertebroplasty

09/29/02

12/13/05

LMRP-086-02a

Kyphoplasty

09/29/02

11/06/02

LMRP-086-02b

Kyphoplasty

11/06/02

02/17/05

LMRP-086-02c

Kyphoplasty

09/29/02

12/15/05

LMRP-087-02a

Human Skin Equivalent

12/18/02

02/11/05

LMRP-087-02b

Human Skin Equivalent

01/29/05

12/16/05

LMRP-088-02a

Infliximab

09/29/02

03/25/03

LMRP-088-02b

Infliximab

03/25/03

08/10/04

LMRP-088-02c

Infliximab

03/25/03

03/01/05

LMRP-088-02d

Infliximab

09/29/02

12/13/05

LMRP-089-02a

Epoetin Alfa (Epogen, EPO, Erythropoetin)

09/29/02

10/31/02

LMRP-089-02b

Epoetin Alfa (Epogen, EPO, Erythropoietin)

10/31/02

02/??/04

LMRP-089-02c

Epoetin Alfa (Epogen, EPO, Erythropoietin)

09/29/02

12/15/05

LMRP-090-02b

Erythropoietin Analogs (Aranesp, Darbepoetin)

01/17/03

10/04/04

LMRP-090-02c

Erythropoietin Analogs

09/29/02

12/14/05

LMRP-091-03b

Off-Label Coverage of FDA Approved

09/30/04

11/07/04

LMRP-091-03c

Off-Label Coverage of FDA Approved Drugs and Biolo

11/07/04

02/11/05

LMRP-091-03d

Off-Label Coverage of FDA Approved Drugs and Bio

09/30/03

12/16/05

LMRP-092-03a

Mohs Micrographic Surgery

09/30/03

12/08/05

LMRP-093-03a

Intensity Modulated Radiation Therapy (IMRT)

09/30/03

11/11/04

LMRP-093-03b

Intensity Modulated Radiation Therapy (IMRT)

11/07/04