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Welcome to the Medicare Coverage Database

Error Message: The MCD ID is missing from the URL.


MCD Notice Board

Alert: Codes are moving out of LCDs and into Billing and Coding Articles!

In response to a provision of the 21st Century Cures Act, the Centers for Medicare & Medicaid Services (CMS) revised chapter 13 of the Medicare Program Integrity Manual (PIM). This chapter describes the local coverage determinations (LCD) process. One significant change is the relocation of codes (ICD-10-CM, CPT/HCPCS, Bill Type, and Revenue) from LCDs and into local coverage Articles. The MACs were instructed to begin relocating codes process began in January 2019 and is expected to continue through January 2020.

During this transition period, codes may be found in either an LCD or an Article. However, when a particular LCD has its codes removed, the Medicare Administrative Contractor (MAC) will create a Billing and Coding Article which will contain the codes. The LCD and the Billing and Coding Article are companion documents. They will be related to each other, and MCD users can see the relationship and access the related document by navigating to the "Related Local Coverage Documents" section in either the LCD or Article.

More information on the changes made to PIM Chapter 13 and the LCD process can be found here: https://www.cms.gov/newsroom/fact-sheets/summary-significant-changes-medicare-program-integrity-manual-chapter-13-local-coverage


Last Updated: 2019-10-07

Latest Site Updates (PDF, 147 KB, 11/14/2019)  


The Medicare Coverage Database (MCD) contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions. The database also includes several other types of National Coverage policy related documents, including National Coverage Analyses (NCAs), Coding Analyses for Labs (CALs), Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) proceedings, and Medicare coverage guidance documents.

  • How to Use the Medicare Coverage Database (PDF, 3.88 MB)  

How to Use this Site

The MCD offers multiple ways to locate and view data:

  • QUICK SEARCH - Provides users the ability to search both the NCD and LCD Databases using a variety of criteria such as keyword, diagnosis/procedure, and date. The Quick Search button displays on the right hand side of the screen.
  • ADVANCED SEARCH - Provides users with additional filters to narrow the search.
  • INDEXES - Provides users with pre-defined lists of National and Local Coverage documents.
  • REPORTS - Provides users with reports of National and Local Coverage data.
  • DOWNLOADS - Allows users to download complete sets of LCDs and articles and the complete set of NCDs.
  • Page Help - Users may use the "Page Help" link to get assistance about the MCD page that they are on.
  • Click on the corresponding link at the top of the page to get started.

MCD vs. Medicare.gov

The MCD is intended for use by Medicare contractors, providers, and other healthcare industry professionals. People with Medicare, family members, and caregivers should visit Medicare.gov , the official U.S. Government site for people with Medicare, for the latest information on Medicare enrollment, benefits, and other helpful tools.

QUICK SEARCH

An asterisk (*) indicates a required field.

YOU MAY SEARCH BY ID:


Alert: Codes are moving from LCDs to Articles! Learn more opens in new window

OR BY DOCUMENT TYPE (Currently in Effect Only):

Document Type


View CMS Region Descriptions opens in new window

*Select One or Both:

*Keyword(s) (Title Only):

AND/OR

Need more search power? Try Advanced Search

RESET SELECTION CRITERIA

MCD UPDATE STATUS

Search Results Table
MCD UpdateData Captured ThroughRefreshed on MCD
National Coverage InformationCurrentReal Time
Local Coverage Information12/08/2019Every Thursday
National Coverage Downloads12/08/2019Every Thursday

MCD ARCHIVE

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

  • Proposed LCDs move to the MCD Archive 1 year after being released to the final LCD.
  • Retired LCDs and Articles move to the MCD Archive 1 year after their retirement dates.
  • Superseded versions of active LCDs and Articles move to the MCD Archive after 1 year.
  • All ICD-9 LCDs and Articles reside on the MCD Archive.

Please visit the MCD Archive Site to view archived documents.

PUBLIC COMMENTS TOOL

The MCD includes a comment tool that the public can use to submit comments on National Coverage documents open for public comment.

Currently, there are no National Coverage documents open for public comment.

2016 LUNCH & LEARN SEMINARS

  • MCD Lunch & Learn - Overview and Advanced Search Pages (PDF, 2,366 KB, 10/04/2016)  
  • MCD Lunch & Learn - Indexes (PDF, 1,335 KB, 10/18/2016)  
  • MCD Lunch & Learn - Reports and Downloads (PDF, 2,188 KB, 03/12/2019)  
  • MCD Lunch & Learn - MCD Archive and Q & A (PDF, 1,443 KB, 11/10/2016)  

RELATED LINKS (9)

Internal Links

  • Medicare Coverage Center
  • Medicare Coverage General Info
  • Medicare Contracting Reform
  • Medicare Contractor Map
  • Medicare Program Integrity Manual, Chapter 13 - Local Coverage Determinations (PDF, 64k)
  • Medicare.gov
  • How to Create Links to the MCD (PDF, 85 KB)  
  • Medicare Self-Administered Drug Determinations (PDF, 1.33 MB)
  • LCD Challenges (PDF, 122 KB) PDF Document

External Links

  • MCD Archive
Footer Links
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