How To - Consolidated MCD Page Help

Introduction

The MCD Search page is the starting point to search for Medicare Coverage documents. It allows users to identify and view both National and Local Coverage documents that reside within the database.

National Coverage documents maintained in the MCD include:

• National Coverage Determinations (NCDs)
• National Coverage Analyses (NCAs)
• Coding Analyses for Labs (CALs)
• Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) meetings
• Technology Assessments (TA)
• Medicare Coverage Documents (MCDs)

Local Coverage documents maintained in the MCD include:

• Articles
• Local Coverage Determinations (LCDs)

Learn more about the various document types found in the MCD

Enter Search Term

Start a search by entering your search term in the search box.

Enter one of the following types of search terms:

• Keyword: For example, "Acupuncture". This type of search will return all documents containing your search term.
• CPT/HCPCS procedure (billing) code: For example, "92250". CPT/HCPCS codes are only included in Articles and certain Durable Medical Equipment (DME) LCDs, or possibly in retired versions of LCDs. This type of search will return all documents containing the CPT/HCPCS code.
• ICD-10-CM code: For example, "E08.621". ICD-10-CM codes are only included in Articles, or possibly in retired versions of LCDs. This type of search will return all documents containing the ICD-10-CM code.
• Document ID: For example, "A12345", "L12345", "CAG-00044N". Please Note that MEDCAC Meetings, TAs, and MCDs do not have document IDs. Entering a document ID will directly open the document.
• Contractor name: This will return all documents pertaining to the specified contractor. Accepted values are: CGS, First Coast, NGS, Noridian, Novitas, Palmetto, and WPS.

Please note you can perform a search while leaving the search box empty. This will return all documents in the MCD.

Hint List

As you enter your search term, a hint list will appear below the search box to help you with your search. If you see what you need in the hint list, you can select it. Otherwise, launch your search by pressing the <Enter> key or clicking on the green magnifying glass.

AMA License Agreement

If you enter a CPT/HCPCS code, you may see a yellow bar. Click on it to view and accept the AMA License Agreement. This will allow you to see matching CPT/HCPCS codes in the hint list.

Smart Searches

The MCD offers some limited smart search capability. The following are examples of some smart searches you can enter:

• "LCDs for cancer" will return LCDs that contain the word "cancer".
• "Acupuncture articles" will return Articles that contain the word "acupuncture".
• "Billing and coding articles for colonoscopy" will return Billing & Coding Articles that contain the word "colonoscopy".

Narrowing Your Search by the State

You can narrow your search to only those documents associated with a particular state by selecting the state where the service took place.

Partial State Selections

Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".

When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.

CMS Regions

Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:

• CMS Region 1: CT, MA, ME, NH, RI, VT
• CMS Region 2: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
• CMS Region 3: DC, DE, MD, PA, VA, WV
• CMS Region 4: AL, FL, GA, KY, MS, NC, SC, TN
• CMS Region 5: IL, IN, MI, MN, OH, WI
• CMS Region 6: AR, LA, NM, OK, TX
• CMS Region 7: IA, KS, MO, NE
• CMS Region 8: CO, MT, ND, SD, UT, WY
• CMS Region 9: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
• CMS Region 10: AK, ID, OR, WA

Introduction

MCD Reports provide key insights into National and Local Coverage data. Begin by selecting a report from the dropdown. If you are looking for a particular document then please use the MCD Search feature.

Generating a Report

After you select a report, the selection criteria will appear. The selection criteria are unique for each report. You can accept the default selections or change them. When you're done, select Submit to generate the report.

Partial State Selections

Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".

When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.

CMS Regions

Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:

• CMS Region 1: CT, MA, ME, NH, RI, VT
• CMS Region 2: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
• CMS Region 3: DC, DE, MD, PA, VA, WV
• CMS Region 4: AL, FL, GA, KY, MS, NC, SC, TN
• CMS Region 5: IL, IN, MI, MN, OH, WI
• CMS Region 6: AR, LA, NM, OK, TX
• CMS Region 7: IA, KS, MO, NE
• CMS Region 8: CO, MT, ND, SD, UT, WY
• CMS Region 9: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
• CMS Region 10: AK, ID, OR, WA

Report Specific Help

After you generate a report, you will be presented with the Report Results. On that page, you will find report specific page help that will provide you with more detailed information about the report.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Introduction

Use this report to view recent activity for National Coverage documents. See what's new for National Coverage Determinations (NCDs), National Coverage Analyses (NCAs), Coding Analyses for Labs (CALs), Medicare Coverage Documents (MCDs), Medicare Evidence Development & Coverage Advisory Committee Meetings (MEDCACs) and Technology Assessments (TAs). Anytime new National Coverage documents are added or existing National Coverage documents are updated, links to those new documents or changes are included in this report. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report contains the documents that were updated during the selected time period. By default, only documents updated during the past 30 days are included.

The columns in this report include:

• Last Updated: The date the document was updated
• Type: The document type
• Title: The title of the document
• ID: The ID of the document
• What's New: A brief description of the change(s)

Filtering Your Report

You can filter your report using the two criteria in the upper left. Changing the filters will immediately update your report.

Document Type

Choose from a list of National Coverage document types. Only the selected document types will be included. By default, all National Coverage document types are included in the report.

Timeframe

Choose a timeframe to limit your report. Only documents updated during the selected timeframe will be included. By default, only documents updated during the last 30 days will be included.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the Last Updated column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view National Coverage documents organized by year. See what's happened in each calendar year with National Coverage Determinations (NCDs), National Coverage Analyses (NCAs) and Coverage Analyses for Labs (CALs). If a document is created or updated during the selected calendar year, it will be included in the report. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report contains the National Coverage documents for the selected calendar year. By default, only documents for the current calendar year are included.

For NCAs/CALs, a document is included for the year if it was opened (tracking sheet posted) or closed (decision memo posted) within the year. If an NCA/CAL was opened in one year and closed in another, it will appear under both years. The NCD year references the NCD Transmittal Date.

The columns in this report include:

• ID: The ID of the document
• Title: The title of the document
• Type: The document type
• Review Status: The document review status; only applicable for NCAs and CALs
• Review Type: The document review type; only applicable for NCAs and CALs

Filtering Your Report

You can filter your report using the two criteria in the upper left. Changing the filters will immediately update your report.

Document Type

Choose from a list of National Coverage document types. Only the selected document types will be included. By default, NCDs, NCAs and CALs are all included in the report.

Year

Choose a calendar year to limit your report. Only documents created or updated during the selected calendar year will be included. By default, the current calendar year is selected.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view National Coverage Analyses (NCAs) and Coding Analyses for Labs (CALs) organized by status, including those that are Open for Public Comment. NCAs and CALs are documents that support the National Coverage Determination (NCD) process. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report contains the list of all NCAs and CALs. By default, all NCAs and CALs are included, but you can filter on the document type or status.

The columns in this report include:

• ID: The ID of the document
• Title: The title of the document
• Type: The document type - NCA or CAL
• Status: The status of the document - Open, Open for Public Comment or Closed

Filtering Your Report

You can filter your report using the two criteria in the upper left. Changing the filters will immediately update your report.

Document Type

Choose from NCAs or CALs. Only the selected document types will be included. By default, both NCAs and CALs are included in the report.

Status

Choose a Status to limit your report. Only documents matching the selected status will be included. By default, all statuses are included, but you can choose to view only Open documents, documents Open for Public Comment or Closed documents.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view National Coverage Determinations (NCDs) listed alphabetically or organized by chapter and section. NCDs are national policy granting, limiting or excluding Medicare coverage for a specific medical item or service. These are developed and published by CMS and apply to all states. NCDs are made through an evidence-based process, with opportunities for public participation. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report contains the list of all NCDs. By default, all NCDs are included, but you can filter on the chapter or NCD type.

The columns in this report include:

• NCD Section: The ID of the document, which includes the NCD chapter and section
• Title: The title of the document

Filtering Your Report

You can filter your report using the two criteria in the upper left. Changing the filters will immediately update your report.

Chapter

Choose from a list of Chapters. Only documents related to the selected Chapter will be included. By default, all Chapters are included in the report.

Type

Choose an NCD type. Only NCDs of the selected type will be included in the results. By default, all NCDs are included in the report results.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the NCD Section column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view Medicare Coverage Documents which are published by CMS to help to relay information that is related to coverage on a national level. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report displays Medicare Coverage Documents. By default, all document types are included, but you can filter the report to just one document type.

The columns in this report include:

• Title: The title of the Medicare Coverage Document
• Type: The type of Medicare Coverage Document
• Status: The status of the document - Open for Public Comment or Closed

Filtering Your Report

You can filter your report by using the criteria in the upper left. Changing the filter will immediately update your report.

Document Type

Choose from a list of document types. By default, the report includes all document types. Select a document type to view only the documents of that type.

Status

Choose a Status to limit your report. Only documents matching the selected status will be included. By default, all statuses are included, but you can choose to view only documents Open for Public Comment or Closed documents.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the Title column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view MEDCAC Meetings organized by date. Review the details and minutes from meetings of various Medicare Evidence Development & Coverage Advisory Committees (MEDCACs). The MEDCAC process was established to provide independent guidance and expert advice to CMS on specific clinical topics. It is used to supplement CMS's internal expertise and to ensure an unbiased and contemporary consideration of "state of the art" technology and science. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report displays MEDCAC meetings. By default, all MEDCAC meetings are included, but you can filter on the calendar year of the meeting.

The columns in this report include:

• Meeting Date: The date of the MEDCAC meeting
• Title: The title of the MEDCAC meeting, which is typically also the subject of the meeting

Filtering Your Report

You can filter your report by using the criteria in the upper left. Changing the filter will immediately update your report.

Year

Choose from a list of calendar years. By default, the report includes all years. Select one or more years to view only the MEDCAC meetings from the selected year(s).

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the Meeting Date column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view Technology Assessments (TAs) organized by year. TAs support the National Coverage Determination (NCD) process and often focus on the quality of the evidence for a given technology. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report displays Technology Assessments (TAs). By default, all TAs are included, but you can filter on the calendar year of the assessment.

The columns in this report include:

• Year: The year of the Technology Assessment
• Title: The title of the Technology Assessment, which is typically also the subject covered by the TA

Filtering Your Report

You can filter your report by using the criteria in the upper left. Changing the filter will immediately update your report.

Year

Choose from a list of calendar years. By default, the report includes all years. Select a year to view only the Technology Assessments from that year.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the Title column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view recent activity for Local Coverage documents. See what's new for Articles, Local Coverage Determinations (LCDs), and Proposed LCDs. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Getting to know the Report

This report contains the documents that were updated during the selected time period for the selected contractor number(s). By default, updated documents are included for the current (i.e., latest) weekly period and for all contractors.

The columns in this report include:

• ID: The ID of the document.
• Title: The title of the document.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the document.
• Updated On: The date the document was updated on. If it is a new document then this date is the creation date. If it is an existing document then this date is the date the document was updated (i.e., revision date).
• Effective Date: If it is a new document then this is the effective date of the original version of the document. If it is an existing document then this is the effective date of the revised version.
• Retired Date: If the document has been retired then this will display the date that the document was retired.

Filtering Your Report

You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.

Weekly data from

Local Coverage documents in the MCD are updated weekly. Choose any one or more weekly periods from the past year. Selecting one or more weekly periods will limit your report to only the Local Coverage documents that were updated during that week or weeks. The dates shown in this filter represent the latest possible document date for that weekly period. By default, the report uses the current (i.e., latest) weekly period.

Contractor

Choose from a list of MACs. Selecting a MAC will allow you to select one or more Contract Numbers associated with that MAC. Your report results will be limited to only the Local Coverage documents associated with the selected MAC and/or Contract Numbers. By default, all MACs are included in the report.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Final Local Coverage Determinations (LCDs) or just the Final LCDs for one or more contractor numbers. LCDs are decisions made by a Medicare Administrative Contractor (MAC) regarding what's reasonable and necessary and, therefore, covered by Medicare in the MAC jurisdiction. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Final LCD document IDs begin with the letter "L" (e.g., L12345).

Getting to know the Report

This report contains a list of Final LCDs. By default, all Final LCDs are included but you can limit the list to one or more contractor numbers.

The columns in this report include:

• ID: The ID of the Final LCD.
• Title: The title of the Final LCD.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Final LCD.
• Effective Date: If it is a new LCD then this is the effective date of the original version of the LCD. If it is an existing LCD then this is the effective date of the revised version.
• Last Updated: If it is a new LCD then this is the date the LCD was created. If it is an existing LCD then this is the date the LCD was updated.
• Status: The status of the Final LCD -- Active, Retired or Future Effective.

Filtering Your Report

You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.

Contractor

Choose from a list of MACs. Selecting a MAC will limit your report to only the Final LCDs associated with the selected MAC. After selecting a MAC name, you have the option to further limit the report to one or more contractor numbers. By default, all MACs are included in the report.

Status

Choose from a list of LCD statuses -- Active, Retired or Future Effective. By default, all statuses are included in the report. Please note the MCD only includes retired documents for less than one year. For documents retired beyond one year, visit the MCD Archive.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Final Local Coverage Determinations (LCDs) or just the Final LCDs for one or more states. LCDs are decisions made by a Medicare Administrative Contractor (MAC) regarding what's reasonable and necessary and, therefore, covered by Medicare in the MAC jurisdiction. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Final LCD document IDs begin with the letter "L" (e.g., L12345).

Getting to know the Report

This report contains a list of Final LCDs. By default, all Final LCDs are included but you can limit the list to one or more contractor numbers within one or more states.

The columns in this report include:

• ID: The ID of the Final LCD.
• Title: The title of the Final LCD.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Final LCD.
• Effective Date: If it is a new LCD then this is the effective date of the original version of the LCD. If it is an existing LCD then this is the effective date of the revised version.
• Last Updated: If it is a new LCD then this is the date the LCD was created. If it is an existing LCD then this is the date the LCD was updated.
• Status: The status of the Final LCD -- Active, Retired or Future Effective.

Filtering Your Report

You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.

State

Choose from a list of states. Selecting one or more states will limit your report to only the Final LCDs relevant for the selected state(s). After selecting one or more states, you have the option to further limit the report to one or more contractor numbers. By default, all states are included in the report.

Partial State Selections

Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".

When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.

CMS Regions

Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:

• CMS Region 1: CT, MA, ME, NH, RI, VT
• CMS Region 2: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
• CMS Region 3: DC, DE, MD, PA, VA, WV
• CMS Region 4: AL, FL, GA, KY, MS, NC, SC, TN
• CMS Region 5: IL, IN, MI, MN, OH, WI
• CMS Region 6: AR, LA, NM, OK, TX
• CMS Region 7: IA, KS, MO, NE
• CMS Region 8: CO, MT, ND, SD, UT, WY
• CMS Region 9: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
• CMS Region 10: AK, ID, OR, WA

Status

Choose from a list of LCD statuses -- Active, Retired or Future Effective. By default, all statuses are included in the report. Please note the MCD only includes retired documents for less than one year. For documents retired beyond one year, visit the MCD Archive.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Final Local Coverage Determinations (LCDs) listed alphabetically. LCDs are decisions made by a Medicare Administrative Contractor (MAC) regarding what's reasonable and necessary and, therefore, covered by Medicare in the MAC jurisdiction. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Final LCD document IDs begin with the letter "L" (e.g., L12345).

Getting to know the Report

This report contains a list of Final LCDs. By default, all Final LCDs are included.

The columns in this report include:

• ID: The ID of the Final LCD.
• Title: The title of the Final LCD.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Final LCD.
• Effective Date: If it is a new LCD then this is the effective date of the original version of the LCD. If it is an existing LCD then this is the effective date of the revised version.
• Last Updated: If it is a new LCD then this is the date the LCD was created. If it is an existing LCD then this is the date the LCD was updated.
• Status: The status of the Final LCD -- Active, Retired or Future Effective.

Filtering Your Report

You can filter your report by using the criteria in the upper left. Changing the filter will immediately update your report.

Status

Choose from a list of LCD statuses -- Active, Retired or Future Effective. By default, all statuses are included in the report.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Proposed Local Coverage Determinations (LCDs) or just the Proposed LCDs for one or more contractor numbers. Medicare Administrative Contractors (MACs) publish Proposed LCDs before an LCD becomes final. LCDs are decisions made by a MAC regarding what's reasonable and necessary and, therefore, covered by Medicare in the MAC jurisdiction. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Proposed LCD document IDs begin with the letters "DL" (e.g., DL12345).

Getting to know the Report

This report contains a list of Proposed LCDs. By default, all Proposed LCDs are included but you can limit the list to one or more contractor numbers.

The columns in this report include:

• ID: The ID of the Proposed LCD.
• Title: The title of the Proposed LCD.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Proposed LCD.
• Status: The status of the Proposed LCD in the LCD Process.
• Comment Period: When the Proposed LCD is or was open for public comment (i.e., when the public can/could provide comments on the document).
• Notice Period: The period of time, which is a minimum 45 days, between when the Final LCD version has been published and when it goes into effect. Selecting the dates will bring the user to the version of Final LCD that was displayed during the Notice Period, even if there are now newer versions of the Final LCD.
• Final LCD ID: If the Proposed LCD has a corresponding Final LCD, the ID of the Final LCD will be listed. Selecting the ID will bring the user to the latest version of the Final LCD. (The Final LCD may or may not have had subsequent versions created since the Proposed LCD process.)

Filtering Your Report

You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.

Contractor

Choose from a list of MACs. Selecting a MAC will limit your report to only the Proposed LCDs associated with the selected MAC. After selecting a MAC name, you have the option to further limit the report to one or more contractor numbers. By default, all MACs are included in the report.

Status

Choose from a list of Proposed LCD statuses -- In Comment, Comments Ended, In Notice or Final Issued. By default, all statuses are included in the report.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Proposed Local Coverage Determinations (LCDs) or just the Proposed LCDs for one or more states. Medicare Administrative Contractors (MACs) publish Proposed LCDs before an LCD becomes final. LCDs are decisions made by a MAC regarding what's reasonable and necessary and, therefore, covered by Medicare in the MAC jurisdiction. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Proposed LCD document IDs begin with the letters "DL" (e.g., DL12345).

Getting to know the Report

This report contains a list of Proposed LCDs. By default, all Proposed LCDs are included but you can limit the list to one or more contractor numbers within one or more states.

The columns in this report include:

• ID: The ID of the Proposed LCD.
• Title: The title of the Proposed LCD.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Proposed LCD.
• Status: The status of the Proposed LCD in the LCD Process.
• Comment Period: When the Proposed LCD is or was open for public comment (i.e., when the public can/could provide comments on the document).
• Notice Period: The period of time, which is a minimum 45 days, between when the Final LCD version has been published and when it goes into effect. Selecting the dates will bring the user to the version of Final LCD that was displayed during the Notice Period, even if there are now newer versions of the Final LCD.
• Final LCD ID: If the Proposed LCD has a corresponding Final LCD, the ID of the Final LCD will be listed. Selecting the ID will bring the user to the latest version of the Final LCD. (The Final LCD may or may not have had subsequent versions created since the Proposed LCD process.)

Filtering Your Report

You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.

State

Choose from a list of states. Selecting one or more states will limit your report to only the Proposed LCDs relevant for the selected state(s). After selecting one or more states, you have the option to further limit the report to one or more contractor numbers. By default, all states are included in the report.

Partial State Selections

Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".

When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.

CMS Regions

Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:

• CMS Region 1: CT, MA, ME, NH, RI, VT
• CMS Region 2: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
• CMS Region 3: DC, DE, MD, PA, VA, WV
• CMS Region 4: AL, FL, GA, KY, MS, NC, SC, TN
• CMS Region 5: IL, IN, MI, MN, OH, WI
• CMS Region 6: AR, LA, NM, OK, TX
• CMS Region 7: IA, KS, MO, NE
• CMS Region 8: CO, MT, ND, SD, UT, WY
• CMS Region 9: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
• CMS Region 10: AK, ID, OR, WA

Status

Choose from a list of Proposed LCD statuses -- In Comment, Comments Ended, In Notice or Final Issued. By default, all statuses are included in the report.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Proposed Local Coverage Determinations (LCDs) listed alphabetically. Medicare Administrative Contractors (MACs) publish Proposed LCDs before an LCD becomes final. LCDs are decisions made by a MAC regarding what's reasonable and necessary and, therefore, covered by Medicare in the MAC jurisdiction. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Proposed LCD document IDs begin with the letters "DL" (e.g., DL12345).

Getting to know the Report

This report contains a list of Proposed LCDs. By default, all Proposed LCDs are included.

The columns in this report include:

• ID: The ID of the Proposed LCD.
• Title: The title of the Proposed LCD.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Proposed LCD.
• Status: The status of the Proposed LCD in the LCD Process.
• Comment Period: When the Proposed LCD is or was open for public comment (i.e., when the public can/could provide comments on the document).
• Notice Period: The period of time, which is a minimum 45 days, between when the Final LCD version has been published and when it goes into effect. Selecting the dates will bring the user to the version of Final LCD that was displayed during the Notice Period, even if there are now newer versions of the Final LCD.
• Final LCD ID: If the Proposed LCD has a corresponding Final LCD, the ID of the Final LCD will be listed. Selecting the ID will bring the user to the latest version of the Final LCD. (The Final LCD may or may not have had subsequent versions created since the Proposed LCD process.)

Filtering Your Report

You can filter your report by using the criteria in the upper left. Changing the filter will immediately update your report.

Status

Choose from a list of Proposed LCD statuses -- In Comment, Comments Ended, In Notice or Final Issued. By default, all statuses are included in the report.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Articles or just the Articles for one or more contractor numbers. Articles include billing, coding and other guidelines created by a Medicare Administrative Contractor (MAC) that are related to a Local Coverage Determination (LCD). You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Article document IDs begin with the letter "A" (e.g., A12345).

Getting to know the Report

This report contains a list of Articles. By default, all Articles are included but you can limit the list to one or more contractor numbers.

The columns in this report include:

• ID: The ID of the Article.
• Title: The title of the Article.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Article.
• Effective Date: If it is a new Article then this is the effective date of the original version of the Article. If it is an existing Article then this is the effective date of the revised version.
• Last Updated: If it is a new Article then this is the date the Article was created. If it is an existing Article then this is the date the Article was updated.
• Status: The status of the Article -- Active, Retired or Future Effective.

Filtering Your Report

You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.

Contractor

Choose from a list of MACs. Selecting a MAC will limit your report to only the Articles associated with the selected MAC. After selecting a MAC name, you have the option to further limit the report to just one or more contractor numbers. By default, all MACs are included in the report.

Status

Choose from a list of Article statuses -- Active, Retired or Future Effective. By default, all statuses are included in the report. Please note the MCD only includes retired documents for less than one year. For documents retired beyond one year, visit the MCD Archive.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Articles or just the Articles for one or more contractor numbers within one or more states. Articles include billing, coding and other guidelines created by a Medicare Administrative Contractor (MAC) that are related to a Local Coverage Determination (LCD). You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Article document IDs begin with the letter "A" (e.g., A12345).

Getting to know the Report

This report contains a list of Articles. By default, all Articles are included but you can limit the list to one or more contractor numbers within one or more states.

The columns in this report include:

• ID: The ID of the Article.
• Title: The title of the Article.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Article.
• Effective Date: If it is a new Article then this is the effective date of the original version of the Article. If it is an existing Article then this is the effective date of the revised version.
• Last Updated: If it is a new Article then this is the date the Article was created. If it is an existing Article then this is the date the Article was updated.
• Status: The status of the Article -- Active, Retired or Future Effective.

Filtering Your Report

You can filter your report by using the two criteria in the upper left. Changing the filters will immediately update your report.

State

Choose from a list of states. Selecting one or more states will limit your report to only the Articles relevant for the selected state(s). After selecting one or more states, you have the option to further limit the report to one or more contractor numbers. By default, all states are included in the report.

Partial State Selections

Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".

When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.

CMS Regions

Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:

• CMS Region 1: CT, MA, ME, NH, RI, VT
• CMS Region 2: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
• CMS Region 3: DC, DE, MD, PA, VA, WV
• CMS Region 4: AL, FL, GA, KY, MS, NC, SC, TN
• CMS Region 5: IL, IN, MI, MN, OH, WI
• CMS Region 6: AR, LA, NM, OK, TX
• CMS Region 7: IA, KS, MO, NE
• CMS Region 8: CO, MT, ND, SD, UT, WY
• CMS Region 9: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
• CMS Region 10: AK, ID, OR, WA

Status

Choose from a list of Article statuses -- Active, Retired or Future Effective. By default, all statuses are included in the report. Please note the MCD only includes retired documents for less than one year. For documents retired beyond one year, visit the MCD Archive.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view all Articles listed alphabetically. Articles include billing, coding and other guidelines created by a Medicare Administrative Contractor (MAC) that are related to a Local Coverage Determination (LCD). You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD

Note that Article document IDs begin with the letter "A" (e.g., A12345).

Getting to know the Report

This report contains a list of Articles. By default, all Articles are included.

The columns in this report include:

• ID: The ID of the Article.
• Title: The title of the Article.
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the Article.
• Effective Date: If it is a new Article then this is the effective date of the original version of the Article. If it is an existing Article then this is the effective date of the revised version.
• Last Updated: If it is a new Article then this is the date the Article was created. If it is an existing Article then this is the date the Article was updated.
• Status: The status of the Article -- Active, Retired or Future Effective.

Filtering Your Report

You can filter your report by using the criteria in the upper left. Changing the filter will immediately update your report.

Status

Choose from a list of Article statuses -- Active, Retired or Future Effective. By default, all statuses are included in the report.

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Adding Documents to the Basket

You can add documents to the basket by selecting the basket icon associated with the document of interest. Adding documents to the basket will allow you to reference the documents at a later time. Selecting the basket icon in the table's header row will add all the documents in the table to the basket. However, this feature is disabled if there are more than 50 documents in the table.

To see the items in your basket, select the basket icon in the navbar.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

Use this report to view the Self-Administered Drug (SAD) Exclusion List. See the drugs determined by the Medicare Administrative Contractors (MACs) to be usually self-administered and, therefore, excluded from Medicare coverage by law. The absence of a drug from this list does not necessarily mean the drug is covered by Medicare. Please contact your local contractor for information concerning a particular drug not found on this list. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

For more information on Self-Administered Drugs, please see the
Medicare Benefit Policy Manual, Publication 100-2, Chapter 15, Section 50.2

Getting to know the Report

This report lists the Self-Administered Drug (SAD) Exclusion List articles and the article's CPT/HCPCS codes associated with the excluded drugs.

The columns in this report include:

• ID: The ID of the SAD Exclusion List article
• Contractor: The Medicare Administrative Contractor (MAC) responsible for the SAD Exclusion List article
• CPT/HCPCS Code: The CPT/HCPCS code of the excluded drug
• CPT/HCPCS Code Description: The CPT/HCPCS code description of the excluded drug
• Drug Brand Name: The drug brand name of the excluded drug

Filtering Your Report

You can filter your report by using the four criteria in the upper left. Changing the filters will immediately update your report.

Date Criteria

Choose a date or date range to limit the report to only SAD Exclusion List articles that were effective on the specified date(s). By default, the report displays SAD Exclusion List articles that are currently in effect.

Contractor

Choose from a list of MACs. Selecting one or more MACs will limit your report to only the SAD Exclusion List articles associated with the selected MACs. By default, all MACs are included in the report.

CPT/HCPCS Code(s):

Enter a CPT/HCPCS code to limit the list of drugs returned by the report. By default, the report includes all drugs from the SAD Exclusion List articles. To include multiple CPT/HCPCS codes, enter CPT/HCPCS codes separated by a comma (e.g., "00800,04400")

Drug keyword:

Enter a drug keyword to limit the list of drugs returned by the report. By default, the report includes all drugs from the SAD Exclusion List articles. If a keyword is entered, drugs will only be included in the report if either the CPT/HCPCS Code Description or the Drug Brand Name column contains the keyword.

Sorting Your Report

You can sort your report by using the Sort By feature. Changing the sort will immediately update your report.

Opening Documents

You can open a document by selecting the link in the ID column.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

CPT codes, descriptions, and other data only are copyright 2025 American Medical Association. All Rights Reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. CPT is a registered trademark of the American Medical Association.

Current Dental Terminology © 2025 American Dental Association. All rights reserved.

Copyright © 2025, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB‐04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution, or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at ub04@aha.org or 312‐422‐3366.

Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

Introduction

Use this report to view contact information for the Medicare Administrative Contractors (MACs). MACs process medical claims for Medicare as well as publish Local Coverage Determinations (LCDs) and Articles. You can Hide or Show the Report Information panel by clicking on the "Report Information" label at the top of that section.

Learn more about the various document types found in the MCD
Learn more about the MACs

Getting to know the Report

This report displays contact information and other pertinent information for the MACs. By default, all MACs are included, but you can filter on the MAC contract type, the MAC name, or on the state covered by the MAC.

The columns in this report include:

• Contractor: The name, mailing address, contact phone number and website address of the MAC
• Contract Number: The contract number, type and jurisdiction of the MAC
• Medical Director: The name and title of the medical director for the MAC
• State(s) Covered: The state(s) covered by the MAC

Filtering Your Report

You can filter your report by using the three criteria in the upper left. Changing the filters will immediately update your report. Use the filters to narrow down the list to find the MAC you are interested in.

Contract Type

Choose from a list of MAC contract types. By default, the report includes all MAC contract types, but you can change the filter to include one or more specific types.

• DME MAC: for questions regarding durable medical equipment
• HHH MAC: for questions regarding home health and hospice
• MAC - Part A: for questions regarding Medicare Part A (i.e., inpatient services)
• MAC - Part B: for questions regarding Medicare Part B (i.e., outpatient services)

Contractor Name

Choose from a list of MACs. By default, the report includes all Contractors, but you can change the filter to include only one or more MACs.

State

Choose a state based on where the service was performed. The report will only include MACs that covered the selected state. By default, MACs for all states are included in the report, but you can change the filter to include one or more specific states.

Partial State Selections

Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".

When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.

CMS Regions

Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:

• CMS Region 1: CT, MA, ME, NH, RI, VT
• CMS Region 2: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
• CMS Region 3: DC, DE, MD, PA, VA, WV
• CMS Region 4: AL, FL, GA, KY, MS, NC, SC, TN
• CMS Region 5: IL, IN, MI, MN, OH, WI
• CMS Region 6: AR, LA, NM, OK, TX
• CMS Region 7: IA, KS, MO, NE
• CMS Region 8: CO, MT, ND, SD, UT, WY
• CMS Region 9: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
• CMS Region 10: AK, ID, OR, WA

Sorting Your Report

You can sort your report by using the Sort By feature in the upper right. Changing the sort will immediately update your report.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Additional Features

On the right side of the report, in the Report Information section, you will find details about the report you are viewing:

• Report Run Date: The date you ran the report
• Selected Criteria: The filter options you chose when generating the report

At the bottom of the report, you will find additional helpful features:

• Submit Feedback/Ask a Question: Use this feature to contact CMS
• Download to Excel: Use this feature to download all of the report data to an Excel file

Introduction

The Downloads page provides options to download a data set containing Local Coverage data (Articles and LCDs) or National Coverage data (NCDs and Public Comments for NCAs/CALs). For the Local Coverage data, separate download files are available for "All" or "Current" policies. The "All" version contains retired policies not contained in the "Current" version. Retired policies are those policies that are no longer in effect, but continue to display on the MCD.

Only the most current, in effect (or future effective) version of the documents are included in each data set. In some cases, the latest version may be a future modification already on file with CMS. Older versions available from the MCD Archive are not included in the data sets.

Data as of

Local Coverage documents in the MCD are updated weekly. The date shown represents the latest possible document date in that data set.

Release date

The date that the data set first appeared on the MCD.

Download links

You can choose to download the data (which also includes the data dictionary) or download just the data dictionary for a preview of what the data contains.

Download All Data

You can choose to download each of the data sets individually or use the link at the top right to download all of the data sets at once.

Introduction

Use the basket to collect and organize your documents. Please note that the basket will automatically empty itself after one hour of non-activity.

Document Table

This table lists the documents in your basket.

Select any document ID to open that document.

"View" in the Newer Version column indicates that a later version of an NCD, NCA, CAL, LCD, or Article has been published since you added it to your Basket. Selecting the link opens the most recent version of the document. Use the Newer Version sort option to display documents with newer versions at the top of your Basket. To keep only the most recent versions, update your Basket by adding newer documents and removing older ones, then create a new link to your Basket.

Use the trash icon to remove a document from the basket. Use the icon in the header row at top to remove all documents and empty the basket.

Additional Features

At the top right, you will find the "Sort by" feature to sort your results

At the bottom right, you will find the ability to download your search results into an Excel file.

Email Basket

At the top left, you will find the "Email Basket" feature. Once documents are added to your basket, you can email the basket to yourself or someone else. This is a convenient way to save your documents for reference later.

Create Link to Basket

At the top left, you will find the "Create Link to Basket" feature. Once documents are added to your basket, you can create a link to the basket to save for yourself or to share with someone else. This is another convenient way to save your documents for reference later.

Email Form

After selecting "Email Basket", use this form to indicate where the email should be sent. You can specify multiple email addresses by separating the email addresses with a comma or semi-colon.

Introduction

The MCD Search Results page contains the results of your search. The page contains multiple sections.

Search Results Table

This table contains the documents that match your search criteria. Click on any row to open that document.

The ID column is important. You can use this ID to reference or find the document again in the future.

The Type column indicates what type of document is listed. Learn more about the various document types found in the MCD

Use the basket to add documents to your MCD basket. Once documents are added to your basket, you can email the basket to yourself or someone else. This is a convenient way to save your documents for reference later. Please note that the basket will automatically empty itself after one hour of non-activity.

Filter Bar

Use the filter bar to narrow down your results by using the filter buttons. If you had performed a search using a keyword, you can also change that keyword here.

Selecting any button will display the filter criteria.

Keyword Search Options:

• The Starts With (default) option will return documents that contain the text that you entered (e.g., "cardiac" will return Cardiac Allografts and Cardiac Pacemaker) or words that start with that text (e.g., “hemo” will return hemodialysis, hemoglobin, and hemophilia).
• The All Words option will return documents that contain all of the words you entered (e.g., “hemoglobin test” will return documents that include both “test” and “hemoglobin”). The keywords do not have to be found together as a phrase.
• The Any Word option will return documents that contain any one of the words you entered (e.g., “hemoglobin test” will return documents that include either “test” or “hemoglobin”).

Search Information

This section contains information about your search including the See Also section which provides important notes that you may find helpful. You can Hide or Show the Search Information panel by clicking on the "Search Information" label at the top.

Additional Features

At the top right, you will find additional features:

• Sort by: Sort your results.
• New search: Return to the Search page to start a new search.
• Copy this search: Copy the URL for your current search into the clipboard. You can use the URL in the future as a shortcut to your current search. You can also use your browser to bookmark the page to save your current search.

At the bottom right, you will find the ability to download your search results into an Excel file.

CMS Regions

Within the state dropdown list, you can also select to narrow your search by CMS Region. The CMS Regions are broken out by state as follows:

• CMS Region 1: CT, MA, ME, NH, RI, VT
• CMS Region 2: NJ, NY, Puerto Rico (PR), Virgin Islands (VI)
• CMS Region 3: DC, DE, MD, PA, VA, WV
• CMS Region 4: AL, FL, GA, KY, MS, NC, SC, TN
• CMS Region 5: IL, IN, MI, MN, OH, WI
• CMS Region 6: AR, LA, NM, OK, TX
• CMS Region 7: IA, KS, MO, NE
• CMS Region 8: CO, MT, ND, SD, UT, WY
• CMS Region 9: AZ, CA, HI, NV, American Samoa (AS), Guam (GU), Northern Mariana Islands (CNMI)
• CMS Region 10: AK, ID, OR, WA

Partial State Selections

Both California and New York support partial state selections. The state selections for California include "California - Entire State", "California - Northern" and "California - Southern" and New York include "New York - Entire State", "New York - Downstate", "New York - Queens", "New York - Upstate".

When searching documents for California and New York, your results may include documents that are not relevant for your location. For example, if your location of service was in Southern California, your results may include documents that are associated only with "California - Northern", which may not be relevant. When viewing Articles and LCDs for California and New York, please review the geographic information for that document and confirm that the document is relevant for your location of service.

Pro Tip

If you prefer the functionality available on the Search Results page, you can perform a search using a blank keyword and then bookmark the resulting page. This bookmark will allow you to shortcut to the results page to start a new search.

Introduction

This page displays your requested Article. The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

Articles are a type of document published by the Medicare Administrative Contractors (MACs). Articles often contain coding or other guidelines and may or may not be in support of a Local Coverage Determination (LCD).

Finding a specific code

Some articles contain a large number of codes. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. Sometimes, a large group can make scrolling thru a document unwieldy. You can collapse such groups by clicking on the group header to make navigation easier. However, please note that once a group is collapsed, the browser Find function will not find codes in that group.

More information

Articles which directly support an LCD are known as “LCD Reference Articles”. The referenced LCD may be cited in the Article Text field and may also be linked to in the Related Documents field. Examples may include but are not limited to Response to Comments and some Billing and Coding Articles. If you have a question about this kind of article, please contact the MAC listed within the Contractor Information section of the article.

Articles identified as “Not an LCD Reference Article” are articles that do not directly support a Local Coverage Determination (LCD). They do not include a citation of an LCD. An example would include, but is not limited to, the Self-Administered Drug (SAD) Exclusion List Articles. If you have a question about this kind of article, please contact the MAC listed within the Contractor Information section of the article.

There are different article types:

• Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered.
• Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period.
• Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. The Medicare program provides limited benefits for outpatient prescription drugs. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug.
• Draft articles are articles written in support of a Proposed LCD. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD.

Articles are often related to an LCD, and the relationship can be seen in the “Associated Documents” section of the Article or the LCD.

Article document IDs begin with the letter “A” (e.g., A12345). Draft articles have document IDs that begin with “DA” (e.g., DA12345).

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Introduction

This page displays your requested Local Coverage Determination (LCD). The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

A Local Coverage Determination (LCD) is a decision made by a Medicare Administrative Contractor (MAC) on whether a particular service or item is reasonable and necessary, and therefore covered by Medicare within the specific jurisdiction that the MAC oversees.

Please note that codes (CPT/HCPCS and ICD-10) have moved from LCDs to Billing & Coding Articles.

More information

MACs are Medicare contractors that develop LCDs and process Medicare claims. MACs develop an LCD when there is no national coverage determination (NCD) or when there is a need to further define an NCD for the specific jurisdiction.

LCDs outline how the contractor will review claims to ensure that the services provided meet Medicare coverage requirements.

Before an LCD becomes final, the MAC publishes Proposed LCDs, which include a public comment period.

LCD document IDs begin with the letter "L" (e.g., L12345). Proposed LCD document IDs begin with the letters "DL" (e.g., DL12345).

The guidelines for LCD development are provided in Chapter 13 of the Medicare Program Integrity Manual. The Social Security Act, Sections 1869(f)(2)(B) and 1862(l)(5)(D) define LCDs and provide information on the process.

Tracking Sheet

The LCD Tracking Sheet is a pop-up modal that is displayed on top of any Proposed LCD that began to appear on the MCD on or after 1/1/2022.

The Tracking Sheet provides key details about the Proposed LCD, including a summary of the issue, who requested the new/updated policy, links to key documents, important process-related dates, who to contact with questions about the policy, and the history of previous policy considerations.

The information displayed in the Tracking Sheet is pulled from the accompanying Proposed LCD and its correlating Final LCD and will be updated as new data becomes available.

The Tracking Sheet modal can be closed and re-opened when viewing a Proposed LCD.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

Introduction

This page displays your requested Medicare Coverage Document. The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

Medicare Coverage Documents are published by CMS to help to relay information that is related to coverage on a national level. Examples include guidance documents, compendia, and solicitations of public comments

Printing a Document to PDF

There are multiple ways to create a PDF of a document that you are currently viewing. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output.

View Public Comments

The View Public Comments page allows users to view public comments that have been submitted and posted for a particular Medicare Coverage Document.

Introduction

This page displays your requested MEDCAC Meeting. The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

The Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) process was established to provide independent guidance and expert advice to CMS on specific clinical topics. It is used to supplement CMS's internal expertise and to ensure an unbiased and contemporary consideration of "state of the art" technology and science.

More information

The MEDCAC reviews and evaluates medical literature, reviews technology assessments, public testimony and examines data and information on the benefits, harms, and appropriateness of medical items and services that are covered under Medicare or that may be eligible for coverage under Medicare. The MEDCAC judges the strength of the available evidence and makes recommendations to CMS based on that evidence. They advise CMS on whether specific medical items and services are reasonable and necessary under Medicare law. They perform this task in an open and public forum. The MEDCAC is advisory in nature, with the final decision on all issues resting with CMS. MEDCAC members are valued for their background, education, and expertise in a wide variety of scientific, clinical, and other related fields. In composing the MEDCAC, CMS was diligent in pursuing ethnic, gender, geographic, and other diverse views, and to carefully screen each member to determine potential conflicts of interest. More information can be found here .

Printing a Document to PDF

There are multiple ways to create a PDF of a document that you are currently viewing. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output.

Submit Public Comment

The Submit Public Comment page allows you to submit a public comment for a specific document. Please note you must read and agree to the CMS PHI Posting Policy before submitting a public comment. Do not include any Protected Health Information (PHI) in your comments.

Introduction

This page displays your requested National Coverage Analysis (NCA). The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

When an NCD is under consideration, either a new review or a reconsideration, there are numerous documents that support the process. These documents are considered the NCA. They include tracking sheets to inform the public of the issues under consideration and the status (i.e., Pending, Closed) of the review, information about and results of MEDCAC (formerly known as MCAC) meetings, Technology Assessments, and Decision Memoranda that announce CMS's intention to issue an NCD. These documents, along with the compilation of medical and scientific information currently available, any FDA safety and efficacy data, clinical trial information, etc., provide the rationale behind the evidence-based NCDs.

Printing a Document to PDF

There are multiple ways to create a PDF of a document that you are currently viewing. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output.

Introduction

This page displays your requested Coding Analysis for Labs (CAL). The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

Coding Analyses for Labs (CAL) is an abbreviated process, similar to the National Coverage Determination (NCD) process, for making changes to the coding component of the negotiated laboratory NCDs. The process is used for adjusting the list of covered (or non-covered) ICD-10 diagnosis codes and coding guidance in the NCDs when there is a question regarding whether the code flows from the narrative indications in the NCD. A tracking sheet is posted opening a CAL and a 30-day public comment period follows. A decision memorandum announcing and explaining the decision is posted following the comment period. Changes are implemented in the next available quarterly update of the laboratory edit module. More details regarding the process can be found in 68 FR 74607.

Printing a Document to PDF

There are multiple ways to create a PDF of a document that you are currently viewing. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output.

Introduction

The decision memorandum is the public document that lays out and describes the analytic framework for our decision on a topic under NCD review. Its purpose is to inform the reader of the decision, the reasons for the decision and process followed, and provide a summary of the evidence considered. The decision memorandum alerts the public of our intent to implement the decision at some point in the future. The effective date of the NCD will be the date the decision memo is issued.

The proposed decision memo is typically posted 6 or 9 months after the opening of the NCA or CAL and gives the reader an idea of the direction the review is headed. Consistent with 1862(l)(3)(B), CMS provides 30 days for public comment on the aforementioned proposal.

The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

Creating a document PDF

1. Click on the Download button in the top right corner of the document (i.e., to the right of the document title).
2. In the resulting Print Dialog, set Printer/Destination to “Save as PDF” or “Save to PDF” (for Safari users, Click the PDF button).
3. Click on the Save button and select a location for the new PDF file.

1. Click on More Settings in the Print Dialog to display additional options.
2. Select the checkbox next to Background Graphics or Print Backgrounds.

View Public Comments

The View Public Comments page allows users to view public comments that have been submitted and posted for a particular NCA or CAL. Note that some NCAs or CALs have multiple comment periods; use the filter to view the comments for different periods.

Introduction

When an NCD is under consideration, either a new review or a reconsideration, there are numerous documents that support the process. One of these is the tracking sheet. The Tracking Sheet provides detailed information about a specific NCA or CAL, including recent steps and due dates, and will be updated whenever there are updates to the process.

The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

Introduction

This page displays your requested National Coverage Determination (NCD). The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

National Coverage Determinations (NCDs) are national policy granting, limiting or excluding Medicare coverage for a specific medical item or service.

More information

NCDs are developed and published by CMS and apply to all states. NCDs are made through an evidence-based process, with opportunities for public participation. Medicare coverage is limited to items and services that are considered "reasonable and necessary" for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category). An NCD sets forth the extent to which Medicare will cover specific services, procedures, or technologies on a national basis. Medicare Administrative Contractors (MACs) are required to follow NCDs.

If an NCD does not specifically exclude/limit an indication or circumstance, or if the item or service is not mentioned at all in an NCD or in a Medicare manual, an item or service may be covered at the discretion of the MAC based on a Local Coverage Determination (LCD). LCDs cannot contradict NCDs, but exist to clarify an NCD or address common coverage issues.

Prior to implementation of an NCD, CMS must first issue a Manual Transmittal, CMS ruling, or Federal Register Notice giving specific directions to claims-processing contractors. That issuance, which includes an effective date and implementation date, is the NCD. If appropriate, the Agency must also change billing and claims processing systems and issue related instructions to allow for payment. The NCD will be published in the Medicare National Coverage Determinations Manual. An NCD becomes effective as of the date of the decision memorandum.

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Introduction

This page displays your requested Technology Assessment (TA). The document is broken into multiple sections. You can use the Contents side panel to help navigate the various sections. You can Hide or Show the Contents panel by clicking on the "Contents" label at the top.

Each National Coverage Determination (NCD) is supported by a comprehensive Technology Assessment (TA) process, which often focuses on the quality of the evidence for a given technology.

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Health care Technology Assessment is a multidisciplinary field of policy analysis that studies the medical, social, ethical and economic implications of the development, diffusion and use of technologies. For some NCDs, external TAs are requested through the Agency for Health Research and Quality (AHRQ).

A description of the TA process and guiding principles for selecting which topics are referred for external TA assistance can be found here.

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