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.
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Letters
June 23, 2021: Letter to CMS Re: Improving Data and Methods Related to the Indirect Practice Expense in the Medicare Physician Payment Schedule
May 13, 2021: National Coverage Analysis (NCA) Tracking Sheet for Transvenous (Catheter) Pulmonary Embolectomy (CAG-00457R)- NCD 240.06
March 15, 2021: Wound Care Local Coverage Determintation (LCD) DL38902 to Noridian Administrative Services LLC
January 8, 2021: SVS SET Response to CMS
December 18, 2020: To National Government Services Regarding LCD 38573
September 30, 2020: To BCBS of North Carolina: Treatment for Varicose Veins of the Lower Extremity, Corporate Medical Policy
August 7, 2020: To Novitas: Proposed Local Coverage Determination (LCD): Treatment of Chronic Venous Insufficiency of the Lower Extremities (DL34924)
August 7, 2020: To First Coast Service Options, Inc: Proposed Local Coverage Determination (LCD): Treatment of Chronic Venous Insufficiency of the Lower Extremities (DL38720)
July 17, 2020: Proposed Local Coverage Determination (LCD): Percutaneous Arteriovenous Fistula (pAVF) for Hemodyalysis (DL38573)
May 21, 2020: UnitedHealthcare on Lower Extremity Vascular Interventions
May 13, 2020: Anthem Endovascular Techniques (Percutaneous or Open Exposure) for Arterial Revascularization of the Lower Extremities - CG-SURG-49
Nov 12, 2019: Evicore Healthcare Letter Regarding Peripheral Vascular Disease Imaging Guidelines
Nov 12, 2019: BCBSIL Letter Regarding Evicore Healthcare Peripheral Vascular Disease Imaging Guidelines
Oct 26, 2018: SVS Support Letter Regarding New Technology for Ambulatory Payment Classification (APC)
Oct 25, 2018: SIR Support Letter Regarding New Technology for Ambulatory Payment Classification (APC)
