Healthcare Professionals

Medicare Coverage Policies

The policies listed here are the Medicare Local Coverage Determinations (LCDs) and the National Coverage Determinations (NCDs) and are intended to be a quick reference, not a substitute for the complete LCDs, NCDs or the ICD-10 manual.

The complete policies may be accessed through Centers for Medicare and Medicaid Services.

Please refer to the ICD-10 manual for a complete listing of ICD-10 codes. The ultimate responsibility for correct coding lies with the ordering physician. All ICD-10 codes must be medically appropriate for the patient's condition and consistent with the information found in the patient's medical record for the date of service.

Most Medicare Advantage Plans follow these coverage policies. Please consult the specific Medicare Advantage carrier for confirmation.

For additional information, please contact Customer Care at 1-877-402-4221 or Click here.