• rss
  • facebook
  • twitter
  • linkedin

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.

Where We Stand

From the ACA to Medicare reform, ACP is advocating for internists and their patients on issues we care about.

Learn more

Earn CME Credits

Earn CME Credits through attending live meetings, working online, or watching course recordings on your own schedule.

Prescribe Opioids Safely

Prescribe Opioids Safely

Access this FREE online educational program to help you safely prescribe opioids and manage patients with chronic pain. Online CME is available. Find out more.

Inspire the Next Generation of Medicine

Inspire the Next Generation of Medicine

Contribute to the ACP Education Fund and support our profession and the young minds starting their careers.

Share your love of medicine by making a charitable donation today! All donations are tax-deductible.