The Advanced Search page provides the ability to search both the National Coverage and Local Coverage Databases using a variety of criteria such as document ID, keyword, diagnosis/procedure code, and date.
Search by ID Button: Enter the Document ID in the text box to search. You must specify the entire ID including any dashes or letters. Please Note: MEDCAC Meetings, Technology Assessments, and Medicare Coverage Documents do not have a Document ID.
Search by Document Type(s): Using the radio button options, you can search for National Coverage Documents, Local Coverage Documents, or both National and Local Coverage Documents. The radio button options also have additional Document Type check box criteria.
Geographic Area / Contractor (Local Coverage only): If your search includes Local Coverage Documents, you must select a Geographic Area and/or Contractor information. If you are entering Contractor information, you may choose to enter a Contract Type(s) or a Contractor(s) by Name or Contract Number.
Enter a keyword, or multiple keywords, in the text box to search. You may also specify the scope of the search ("Title" or "Entire Document").
As well, further specificity is available by using a drop down within the Title or Entire Document section ["Exact Phrase," "All Words (and)," or "Any Words (or)"]. If you are
using the Keyword(s) text box, you must enter a minimum of two (2) characters.
Final LCD and Proposed LCD Fields Included in Keyword Search (where applicable):
Article Fields included in Keyword Search (Regular Articles, Response to Comment (RTC) Articles, Self-Administered Drug (SAD) Articles, and Billing and Coding Articles):
- Coverage Indications, Limitations, and/or Medical Necessity
- Associated Information
- Sources of Information
- CPT/HCPCS/ICD-10 Coding Group Paragraphs
- Synopsis of Change
- Summary of Evidence
- Analysis of Evidence
- Article Text
- CPT/HCPCS, CPT/HCPCS Modifiers, ICD-10, and Other Coding Information Coding Group Paragraphs
CPT/HCPCS (Local Coverage only): Enter a specific CPT/HCPCS code or a code range in the text box corresponding to your radio button selection. If you are entering a code range, you must enter the start and end code.
ICD-CM (Local Coverage only): Enter a specific ICD-10 Diagnosis code or a code range in the text box corresponding to your radio button selection. If you are entering a code range, you must enter the start and end code. Click on the "Code Lookup" link to search for a specific code using a keyword search.
Date Criteria: This search function enables you to target documents that are in effect on a specific date or within a specific date range. The default radio button option is "Currently in effect", but you can also specify a specific date or a range of dates.
NCA/CAL Status (National Coverage only): If your Document Type search includes either NCA or CAL documents, you can select an NCA/CAL status option in the drop-down box.
Benefit Category (National Coverage only): If your Document Type search includes NCAs, CALs, or NCDs documents, you can select one or more Benefit Category options in the multi-select box.
"Back to Top" Link: The "Back to Top" link anchors to the top of the page.
Latest Site Updates
(PDF - 165 KB, 09/12/2019)