LCD/NCD Portal

Therapeutics

 

Part B

 

L29052 Accelerated Partial Breast Irradiation (APBI)

 

L29066 Biofeedback

 

L29088 Botulinum Toxins

 

L29133 Diabetes Outpatient Self-Management Training

 

L29173 Family Psychotherapy

 

L29185 Group Psychotherapy

 

L29186 Health and Behavior Assessment Intervention

 

L29196 Psychotherapy

 

L29200 Intensity Modulated Radiation Therapy (IMRT)

 

L29201 Interactive Complexity Services

 

L29246 Osteopathic Manipulative Treatment

 

L29259 Physician Certification and Recertification of Home Health Services

 

L29263 Proton Beam Radiotherapy

 

L29268 Respiratory Therapeutic Services

 

L29289 Therapy and Rehabilitation Services

 

L29309 Vitamin B 12 Injections

 

L29314 Strapping

 

L29953 Non- Emergency Ground Ambulance Services

 

L30351 Pharmacologic Medication Management for Psychotherapy Services

 

L30366 Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)

 

L31245 Qutenza® (capsaicin) 8% patch

 

L31475 Selective Treatment of HAE with Cinryze ™, Berinert ® and Ecallantide

 

L31510 Radiation Therapy for T1 Basal Cell and Squamous Cell Carcinomas of the Skin

 

L31805 Topical Photosensitizers used with PDT for Actinic Keratoses and Certain Skin Cancers

 

L32100 Bisphosphonates (Intravenous [IV]) and Monoclonal Antibodies in the Treatment of Osteoporosis and Their Other Indications

 

L32304 Posterior Tibial Nerve Stimulation (PTNS)

 

L32807 Therapy Services billed by Physicians/Nonphysician Practitioners *

 

L32998 Low Density Lipoprotein (LDL) Apheresis *

 

Part A

 

L28756 Accelerated Partial Breast Irradiation (APBI)

 

L28785 Biofeedback

 

L28788 Botulinum Toxins

 

L28821 Diabetes Outpatient Self-Management Training

 

L28839 Family Psychotherapy

 

L28850 Group Psychotherapy

 

L28889 Psychotherapy

 

L28892 Intensity Modulated Radiation Therapy (IMRT)

 

L28893 Interactive Complexity Services

 

L28950 Psychiatric Inpatient Hospitalization

 

L28973 Psychiatric Partial Hospitalization Program

 

L28978 Respiratory Therapeutic Services

 

L28986 Strapping

 

L28992 Therapy and Rehabilitation Services

 

L29916 Non- Emergency Ground Ambulance Services

 

L30364 Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)

 

L31225 Qutenza® (capsaicin) 8% patch

 

L31508 Selective Treatment of HAE with Cinryze ™, Berinert ® and Ecallantide

 

L31512 Radiation Therapy for T1 Basal Cell and Squamous Cell Carcinomas of the Skin

 

L31807 Topical Photosensitizers used with PDT for Actinic Keratoses and Certain Skin Cancers

 

L33000 Low Density Lipoprotein (LDL) Apheresis *

 

L32110 Bisphosphonates (Intravenous [IV]) and Monoclonal Antibodies in the Treatment of Osteoporosis and Their Other Indications

 

L32306 Posterior Tibial Nerve Stimulation (PTNS)

 

NCDs

 

NCD10.2 Transcutaneous Electrical Nerve Stimulation (TENS) for Acute Post-Operative Pain

 

NCD10.3 Inpatient Hospital Pain Rehabilitation Programs

 

NCD10.4 Outpatient Hospital Pain Rehabilitation Programs

 

NCD20.5 Extracorporeal Immunoadsorption (ECI) Using Protein A Columns

 

NCD20.29 Hyperbaric Oxygen Therapy

 

NCD30.1 Biofeedback Therapy

 

NCD30.2 Thermogenic Therapy

 

NCD30.3 Acupuncture

 

NCD30.3.1 Acupuncture for Fibromyalgia

 

NCD30.3.2 Acupuncture for Osteoarthritis

 

NCD30.4 Electrosleep Therapy

 

NCD30.5 Transcendental Meditation

 

NCD30.8 Cellular Therapy

 

NCD40.1 Diabetes Outpatient Self-Management Training

 

NCD40.3 Closed-Loop Blood Glucose Control Device (CBGCD)

 

NCD40.5 Treatment of Obesity

 

NCD50.5 Oxygen Treatment of Inner Ear/Carbon Therapy

 

NCD50.6 Tinnitus Masking

 

NCD70.1 Consultations with a Beneficiary's Family and Associates

 

NCD70.2.1 Services Provided for the Diagnosis and Treatment of Diabetic Sensory Neuropathy with Loss of Protective Sensation (aka Diabetic Peripheral Neuropathy)

 

NCD70.3 Physician's Office Within an Institution--Coverage of Services and Supplies Incident to a Physician's Services

 

NCD80.2 Photodynamic Therapy (OPT)

 

NCD100.7 Colonic Irrigation

 

NCD110.1 Hyperthermia for Treatment of Cancer

 

NCD110.4 Extracorporeal Photopheresis

 

NCD110.5 Granulocyte Transfusions

 

NCD110.6 Scalp Hypothermia During Chemotherapy to Prevent Hair Loss

 

NCD110.7 Blood Transfusions

 

NCD110.8 Blood Platelet Transfusions

 

NCD110.8.1 Stem Cell Transplantation

 

NCD110.14 Apheresis (Therapeutic Pheresis)

 

NCD110.15 Ultrafiltration, Hemoperfusion and Hemofiltration

 

NCD110.16 Nonselective (Random) Transfusions and Living Related Donor Specific Transfusions (DST) in Kidney Transplantation

 

NCD110.20 Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumors

 

NCD110.22 Autologous Cellular Immunotherapy Treatment

 

NCD130.1 Inpatient Hospital Stays for Treatment of Alcoholism

 

NCD130.2 Outpatient Hospital Services for Treatment of Alcoholism

 

NCD130.3 Chemical Aversion Therapy for Treatment of Alcoholism

 

NCD130.4 Electrical Aversion Therapy for Treatment of Alcoholism

 

NCD130.5 Treatment of Alcoholism and Drug Abuse in a Freestanding Clinic

 

NCD130.6 Treatment of Drug Abuse (Chemical Dependency)

 

NCD130.7 Withdrawal Treatments for Narcotic Addictions

 

NCD130.8 Hemodialysis for Treatment of Schizophrenia

 

NCD150.1 Manipulation

 

NCD150.7 Prolotherapy, Joint Sclerotherapy, and Ligamentous Injections with Sclerosing Agents

 

NCD150.8 Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders

 

NCD160.12 Neuromuscular Electrical Stimulation (NMES)

 

NCD160.15 Electrotherapy for Treatment of Facial Nerve Paralysis (Bell's Palsy)

 

NCD160.16 Vertebral Axial Decompression (VAX-D)

 

NCD160.20 Transfer Factor for Treatment of Multiple Sclerosis

 

NCD160.25 Multiple Electroconvulsive Therapy (MECT)

 

NCD160.27 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)

 

NCD170.1 Institutional and Home Care Patient Education Programs

 

NCD170.2 Melodic Intonation Therapy

 

NCD170.3 Speech-Language Pathology Services for the Treatment of Dysphagia

 

NCD180.1 Medical Nutrition Therapy

 

NCD180.2 Enteral and Parenteral Nutritional Therapy

 

NCD210.4 Smoking and Tobacco-Use Cessation Counseling

 

NCD210.4.1 Counseling to Prevent Tobacco Use

 

NCD210.9 Screening for Depression in Adults