Coverage Determinations

Most decisions about what procedures will be covered under Medicare are made by local contractors and are known as local coverage determinations (LCDs). In some cases the Centers for Medicare & Medicaid Services decides that a coverage issue is national in scope and it issues a national coverage determination (NCD). A recent instance of an NCD is the revised determination for carotid artery stenting which can be found: http://www.cms.gov/transmittals/downloads/R115NCD.pdf.