LCD/NCD Portal
Automated World Health
Surgery & Injections
Part B
L31243 COLLAGENASE CLOSTRIDIUM HISTOLYTICUM (XIAFLEX ®)
L29167 DIAGNOSTIC AND THERAPEUTIC ESOPHAGOGASTRODUODENOSCOPY
L30862 DESTRUCTION OF INTERNAL HEMORRHOID(S) BY INFRARED COAGULATION (IRC)
L32828 DIALYSIS (AV FISTULA AND GRAFT) VASCULAR ACCESS MAINTENANCE *
L29256 ENDOSCOPIC AND PERCUTANEOUS LYSIS OF EPIDURAL ADHESIONS
L29170 EXCISION OF MALIGNANT SKIN LESIONS
L31254 IMPLANTABLE INFUSION PUMP FOR THE TREATMENT OF CHRONIC INTRACTABLE PAIN
L29194 INCISION AND DRAINAGE OF ABSCESS OF SKIN, SUBCUTANEOUS AND ACCESSORY STRUCTURES
L29199 INJECTION OF TRIGGER POINTS
L29204 INTERSPINOUS PROCESS DECOMPRESSION
L29212 LASER TREATMENT FOR PSORIASIS
L32076 LUMBAR SPINAL FUSION FOR INSTABILITY AND DEGENERATIVE DISC CONDITIONS
L29214 LUNG VOLUME REDUCTION SURGERY
L32081 MAJOR JOINT REPLACEMENT (HIP AND KNEE)
L30572 MANIPULATION UNDER ANESTHESIA (MUA)
L29224 MASTOIDECTOMY CAVITY DEBRIDEMENT
L29230 MOHS MICROGRAPHIC SURGERY (MMS)
L30570 MONITORED ANESTHESIA CARE (MAC) FOR CERTAIN INTERVENTIONAL PAIN MANAGEMENT SERVICES
L32485 NONCOVERED PROCEDURES - ENDOSCOPIC TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD)
L29252 PARAVERTEBRAL FACET JOINT BLOCKS
L29209 PERCUTANEOUS VERTEBRAL AUGMENTATION (VERTEBRAL AUGMENTATION) (FORMERLY KYPHOPLASTY)
L29257 PERCUTANEOUS VERTEBROPLASTY
L29258 PERIPHERAL NERVE BLOCKS
L29274 SACROILIAC JOINT INJECTION
L29316 SURGICAL DECOMPRESSION FOR PERIPHERAL POLYNEUROPATHY
L29317 SURGICAL MANAGEMENT OF MORBID OBESITY
L29318 SURGICAL TREATMENT OF NAILS
L29295 TRANSMYOCARDIAL REVASCULARIZATION
L29298 TREATMENT OF VARICOSE VEINS OF THE LOWER EXTREMITY
L29301 UPPER EYELID AND BROW SURGICAL PROCEDURES
L29304 VAGAL NERVE STIMULATION (VNS) FOR INTRACTABLE DEPRESSION
L32102 VASCULAR STENTING OF LOWER EXTREMITY ARTERIES
L29307 VISCOSUPPLEMENTATION THERAPY FOR KNEE
L29128 WOUND DEBRIDEMENT SERVICES
Part A
L31223 COLLAGENASE CLOSTRIDIUM HISTOLYTICUM (XIAFLEX ®)
L28811 CRYOSURGICAL ABLATION OF THE PROSTATE
L30860 DESTRUCTION OF INTERNAL HEMORRHOID(S) BY INFRARED COAGULATION (IRC)
L28823 DIAGNOSTIC AND THERAPEUTIC ESOPHAGOGASTRODUODENOSCOPY
L32830 DIALYSIS (AV FISTULA AND GRAFT) VASCULAR ACCESS MAINTENANCE *
L28948 ENDOSCOPIC AND PERCUTANEOUS LYSIS OF EPIDURAL ADHESIONS
L31249 IMPLANTABLE INFUSION PUMP FOR THE TREATMENT OF CHRONIC INTRACTABLE PAIN
L28775 INTERSPINOUS PROCESS DECOMPRESSION
L32074 LUMBAR SPINAL FUSION FOR INSTABILITY AND DEGENERATIVE DISC CONDITIONS
L28900 LUNG VOLUME REDUCTION SURGERY
L32078 MAJOR JOINT REPLACEMENT (HIP AND KNEE)
L33019 SURGICAL MANAGEMENT OF MORBID OBESITY *
L30563 MANIPULATION UNDER ANESTHESIA (MUA)
L28932 MOHS MICROGRAPHIC SURGERY (MMS)
L30561 MONITORED ANESTHESIA CARE (MAC) FOR CERTAIN INTERVENTIONAL PAIN MANAGEMENT SERVICES
L32487 NONCOVERED PROCEDURES - ENDOSCOPIC TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD)
L28988 SURGICAL DECOMPRESSION FOR PERIPHERAL POLYNEUROPATHY
L28999 TREATMENT OF VARICOSE VEINS OF THE LOWER EXTREMITY
L29002 UPPER EYELID AND BROW SURGICAL PROCEDURES
L29003 VAGAL NERVE STIMULATION (VNS) FOR INTRACTABLE DEPRESSION
L32107 VASCULAR STENTING OF LOWER EXTREMITY ARTERIES
L29005 VISCOSUPPLEMENTATION THERAPY FOR KNEE
L28774 WOUND DEBRIDEMENT SERVICES
NCDs
NCD10.5 AUTOGENOUS EPIDURAL BLOOD GRAFT
NCD20.1 VERTEBRAL ARTERY SURGERY
NCD20.2 EXTRACRANIAL-INTRACRANIAL (EC-IC) ARTERIAL BYPASS SURGERY
NCD20.28 THERAPEUTIC EMBOLIZATION
NCD20.3 THORACIC DUCT DRAINAGE (TDD) IN RENAL TRANSPLANTS
NCD50.4 TRACHEOSTOMY SPEAKING VALVE
NCD80.4 HYDROPHILIC CONTACT LENSES
NCD100.11 GASTRIC BALLOON FOR TREATMENT OF OBESITY
NCD100.13 LAPAROSCOPIC CHOLECYSTECTOMY
NCD20.18 CAROTID BODY RESECTION/CAROTID BODY DENERVATION
NCD20.23 FABRIC WRAPPING OF ABDOMINAL ANEURYSMS
NCD20.26 PARTIAL VENTRICULECTOMY
NCD20.32 TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR)
NCD50.7 COCHLEOSTOMY WITH NEUROVASCULAR TRANSPLANT FOR MENIERE'S DISEASE
NCD70.2 CONSULTATION SERVICES RENDERED BY A PODIATRIST IN A SKILLED NURSING FACILITY
NCD100.1 BARIATRIC SURGERY FOR TREATMENT OF MORBID OBESITY
NCD100.8 INTESTINAL BYPASS SURGERY
NCD100.9 IMPLANTATION OF ANTI-GASTROESOPHAGEAL REFLUX DEVICE
NCD100.10 INJECTION SCLEROTHERAPY FOR ESOPHAGEAL VARICEAL BLEEDING
NCD100.14 SURGERY FOR DIABETES
NCD140.2 BREAST RECONSTRUCTION FOLLOWING MASTECTOMY
NCD140.4 PLASTIC SURGERY TO CORRECT "MOON FACE"
NCD140.6 WRONG SURGICAL OR OTHER INVASIVE PROCEDURE PERFORMED ON A PATIENT
NCD140.7 SURGICAL OR OTHER INVASIVE PROCEDURE PERFORMED ON THE WRONG BODY PART
NCD140.8 SURGICAL OR OTHER INVASIVE PROCEDURE PERFORMED ON THE WRONG PATIENT
NCD150.12 COLLAGEN MENISCUS IMPLANT
NCD150.2 OSTEOGENIC STIMULATORS
NCD150.9 ARTHROSCOPIC LAVAGE AND ARTHROSCOPIC DETRIMENT FOR THE OSTEOARTHRITIC KNEE
NCD150.10 LUMBAR ARTIFICIAL DISC REPLACEMENT (LADR)
NCD150.11 THERMAL INTRADISCAL PROCEDURES (TIPS)
NCD160.1 INDUCED LESIONS OF NERVE TRACTS
NCD160.19 PHRENIC NERVE STIMULATOR
NCD160.2 TREATMENT OF MOTOR FUNCTION DISORDERS WITH ELECTRIC NERVE STIMULATION
NCD160.24 DEEP BRAIN STIMULATION FOR ESSENTIAL TREMOR AND PARKINSON’S DISEASE
NCD160.4 STEREOTACTIC CINGULOTOMY AS A MEANS OF PSYCHOSURGERY
NCD160.6 CAROTID SINUS NERVE STIMULATOR
NCD160.7 ELECTRICAL NERVE STIMULATORS
NCD160.7.1 ASSESSING PATIENT'S SUITABILITY FOR ELECTRICAL NERVE STIMULATION THERAPY
NCD210.3 COLORECTAL CANCER SCREENING TESTS
NCD210.8 SCREENING AND BEHAVIORAL COUNSELING INTERVENTIONS IN PRIMARY CARE TO REDUCE ALCOHOL MISUSE
NCD210.12 INTENSIVE BEHAVIORAL THERAPY FOR OBESITY