Understand about LCD

Q: What is the difference between LCDs and NCDs?
A. Local coverage determinations (LCDs) for a specific jurisdiction are developed by the Medicare Administrative Contractor (MAC) assigned to that jurisdiction. First Coast Service Options Inc. is the MAC for Florida, Puerto Rico, and the U.S. Virgin Islands. Although the majority of coverage determinations are local, in certain cases, Medicare may develop a national coverage determination (NCD) that is applicable to all jurisdictions.

Q: What’s the fastest way to find a list of active LCDs?
A. The Active, Future, and Retired LCDs page includes convenient links to First Coast Service Options Inc.’s LCDs published on the CMS site. We’ve done the hard work for you -- just select the link for your location and line of business. Once you arrive on the CMS site, you have several options to change the number of LCDs shown per page as well as how the list is sorted to facilitate your search. You can also choose links to retired and future effective LCDs. For more information, please review the Finding First Coast LCDs and related coverage information -- how-to guide.


Q: How can I “keep-up” with changing medical coverage policies impacting my area?
A. The best way to stay informed is to subscribe to eNews, First Coast’s electronic mailing service. You’ll receive regular and special email notifications advising you of changes to the Medicare program. You may subscribe to as many lists as you wish including those exclusively focused on news related to LCDs. Subscribe to eNews.

Q: Where do I locate LCDs for ICD-10?
A. On the First Coast website select your correct location and line of business, select the link to Active, future and Retired LCDs, then select the link to Future effective LCDs external link. Because all ICD-10 LCDs are currently published for notice, they can be found on the Future Effective LCD page. Please note on or after October 1, 2015, these LCDs will be located under the Active LCD list external link.

Q: Can I search for LCDs by diagnosis code?
A. Yes, you can search for LCDs by diagnosis code on the CMS website. The Medicare coverage database external link allows you to search for LCDs in a variety of ways including keywords, “L number,” CPT/HCPCS procedure codes, and ICD-9 diagnosis codes. Search the Medicare coverage database external link.

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