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MCD ARCHIVE

Document Update Schedule
Local Coverage Documents (LCDs and Articles) move from the CMS Medicare Coverage Database (MCD) to the MCD Archive in real-time, according to the following schedule:

  • Proposed/Draft LCDs move to the MCD Archive 90 days after being released to the final LCD.
  • Retired LCDs and Articles move to the MCD Archive 90 days after their retirement dates.
  • Superseded versions of active LCDs and Articles move to the MCD Archive after 1 year.
  • All LMRPs reside on the MCD Archive.

Please visit the MCD Archive Site to view archived documents.

Your Search Results

[84 Records]
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Key Article = indicates a Key Article
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NCD Section
NCD Title
100.1Bariatric Surgery for Treatment of Morbid OBESITY
100.11Gastric Balloon for Treatment of OBESITY
210.12Intensive Behavioral Therapy for OBESITY
40.5Treatment of OBESITY
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NCA Tracking #
NCA Title
Review Status
Review Type
CAG-00250R Bariatric Surgery for the Treatment of Morbid OBESITY Closed 1st Recon
CAG-00250R2 Bariatric Surgery for the Treatment of Morbid OBESITY Closed 2nd Recon
CAG-00250R3 Bariatric Surgery for the Treatment of Morbid OBESITY - Facility Certification Requirement Open 3rd Recon
CAG-00423N Intensive Behavioral Therapy for OBESITY Closed New
CAG-00108N OBESITY as an Illness Closed New
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Coding Analyses for Labs (CALs)
No records returned for this section.
[1 Record]
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Meeting Date
MEDCAC Title
11/04/2004 Bariatric Surgery for Treatment of Morbid OBESITY
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TA Title
Diagnosis and Treatment of OBESITY In The Elderly
Lifestyle Interventions for Four Conditions: Type 2 Diabetes, Metabolic Syndrome, Breast Cancer, and Prostate Cancer
Measuring Health-Related Quality of Life for Patients With Diabetic Retinopathy
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Medicare Coverage Documents (MCDs)
No records returned for this section.
[19 Records]
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Article ID#   
Article Title
Contractor Type
Contractor Name
Date Info
A52069 43644: Surgical management of morbid OBESITY revision to the LCD MAC - Part B First Coast Service Options, Inc. (09102) Effective: 12/14/2012
Revision Eff: N/A
End: N/A
Updated: 12/07/2012
A52069 43644: Surgical management of morbid OBESITY revision to the LCD MAC - Part B First Coast Service Options, Inc. (09202) Effective: 12/14/2012
Revision Eff: N/A
End: N/A
Updated: 12/07/2012
A52069 43644: Surgical management of morbid OBESITY revision to the LCD MAC - Part B First Coast Service Options, Inc. (09302) Effective: 12/14/2012
Revision Eff: N/A
End: N/A
Updated: 12/07/2012
A52068 A43644: Surgical management of morbid OBESITY—new LCD MAC - Part A First Coast Service Options, Inc. (09101) Effective: 12/14/2012
Revision Eff: N/A
End: N/A
Updated: 12/07/2012
A52068 A43644: Surgical management of morbid OBESITY—new LCD MAC - Part A First Coast Service Options, Inc. (09201) Effective: 12/14/2012
Revision Eff: N/A
End: N/A
Updated: 12/07/2012
A48897 NCD - Bariatric Surgery for Treatment of Morbid OBESITY MAC - Part A Cahaba Government Benefit Administrators®, LLC (10101) Effective: 05/04/2009
Revision Eff: 06/27/2012
End: N/A
Updated: 03/21/2013
A48897 NCD - Bariatric Surgery for Treatment of Morbid OBESITY MAC - Part A Cahaba Government Benefit Administrators®, LLC (10201) Effective: 05/04/2009
Revision Eff: 06/27/2012
End: N/A
Updated: 03/21/2013
A48897 NCD - Bariatric Surgery for Treatment of Morbid OBESITY MAC - Part A Cahaba Government Benefit Administrators®, LLC (10301) Effective: 05/04/2009
Revision Eff: 06/27/2012
End: N/A
Updated: 03/21/2013
A48897 NCD - Bariatric Surgery for Treatment of Morbid OBESITY MAC - Part B Cahaba Government Benefit Administrators®, LLC (10102) Effective: 05/04/2009
Revision Eff: 06/27/2012
End: N/A
Updated: 03/21/2013
A48897 NCD - Bariatric Surgery for Treatment of Morbid OBESITY MAC - Part B Cahaba Government Benefit Administrators®, LLC (10202) Effective: 05/04/2009
Revision Eff: 06/27/2012
End: N/A
Updated: 03/21/2013
A48897 NCD - Bariatric Surgery for Treatment of Morbid OBESITY MAC - Part B Cahaba Government Benefit Administrators®, LLC (10302) Effective: 05/04/2009
Revision Eff: 06/27/2012
End: N/A
Updated: 03/21/2013
A52110 Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY MAC - Part A Palmetto GBA (11201) Effective: 03/11/2013
Revision Eff: 03/29/2013
End: N/A
Updated: 03/29/2013
A52110 Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY MAC - Part A Palmetto GBA (11301) Effective: 03/11/2013
Revision Eff: 03/29/2013
End: N/A
Updated: 03/29/2013
A52110 Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY MAC - Part A Palmetto GBA (11401) Effective: 03/11/2013
Revision Eff: 03/29/2013
End: N/A
Updated: 03/29/2013
A52110 Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY MAC - Part A Palmetto GBA (11501) Effective: 03/11/2013
Revision Eff: 03/29/2013
End: N/A
Updated: 03/29/2013
A52076 Key Article Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY Local Coverage Determination (LCD) J1A-12-0004-L MAC - Part A Palmetto GBA (01101) Effective: 02/11/2013
Revision Eff: N/A
End: N/A
Updated: 12/17/2012
A52076 Key Article Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY Local Coverage Determination (LCD) J1A-12-0004-L MAC - Part A Palmetto GBA (01201) Effective: 02/11/2013
Revision Eff: N/A
End: N/A
Updated: 12/17/2012
A52076 Key Article Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY Local Coverage Determination (LCD) J1A-12-0004-L MAC - Part A Palmetto GBA (01301) Effective: 02/11/2013
Revision Eff: N/A
End: N/A
Updated: 12/17/2012
A52076 Key Article Response to Comments for Laparoscopic Sleeve Gastrectomy for Severe OBESITY Local Coverage Determination (LCD) J1A-12-0004-L MAC - Part A Palmetto GBA (01901) Effective: 02/11/2013
Revision Eff: N/A
End: N/A
Updated: 12/17/2012
Page 1 of 1
Please note: Any Proposed/Draft policies are denoted by the prefix "DL" in the ID number.
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LCD ID #
LCD Title
Contractor Type
Contractor Name
Date Info
L32904 Bariatric Surgery for Morbid OBESITY Carrier Wisconsin Physicians Service Insurance Corporation (00951) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY Carrier Wisconsin Physicians Service Insurance Corporation (00952) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY Carrier Wisconsin Physicians Service Insurance Corporation (00954) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part A Wisconsin Physicians Service Insurance Corporation (05101) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part A Wisconsin Physicians Service Insurance Corporation (05201) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part A Wisconsin Physicians Service Insurance Corporation (05301) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part A Wisconsin Physicians Service Insurance Corporation (05401) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part A Wisconsin Physicians Service Insurance Corporation (05901) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part A Wisconsin Physicians Service Insurance Corporation (08101) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part A Wisconsin Physicians Service Insurance Corporation (08201) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part B Wisconsin Physicians Service Insurance Corporation (05102) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part B Wisconsin Physicians Service Insurance Corporation (05202) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part B Wisconsin Physicians Service Insurance Corporation (05302) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part B Wisconsin Physicians Service Insurance Corporation (05402) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part B Wisconsin Physicians Service Insurance Corporation (08102) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32904 Bariatric Surgery for Morbid OBESITY MAC - Part B Wisconsin Physicians Service Insurance Corporation (08202) Effective: 02/15/2013
Revision Eff: 03/01/2013
End: N/A
Updated: 02/21/2013
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (04111) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (04211) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (04311) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (04411) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (04911) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (07101) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (07201) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part A Novitas Solutions, Inc. (07301) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
L32619 Bariatric Surgical Management of Morbid OBESITY MAC - Part B Novitas Solutions, Inc. (04112) Effective: 08/13/2012
Revision Eff: 12/21/2012
End: N/A
Updated: 12/28/2012
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