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Medicare Local Coverage Policies

All ICD-10 Local Coverage Determinations (LCDs) and associated ICD-10 articles will be published on the Medicare Coverage Database (MCD) no later than April 10, 2014. All non-ICD 10 related will be published on the MCD no later than September 4, 2014. Note: All LCDs and Articles will receive a new LCD/Article ID number. For example, LCD ID 1234 might become LCD ID 4567.

The new LCD/Article ID number could have an impact on MACs local systems, such as changing their Medicare Summary Notice to capture the new LCD/Article ID number.

CMS has determined that although new LCD numbers will be assigned to the ICD-10 LCD policies, the policies will not be considered new policies. CMS considers this type of update to be a coding revision that does not change the intent of coverage/non-coverage within an LCD. Therefore, if a MAC only translates ICD-9 codes to the appropriate ICD-10 code, the policy does not need to be vetted through their Carrier Advisory Committee or be sent through the public comment and notice process.

However, if a MAC decides to revise more than just the ICD-10 code(s), they will follow the normal LCD development process outlined in the "Medicare Program Integrity Manual" (Publication 100-08, Chapter 13 (Local Coverage Determinations)) on the CMS website.

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