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Local Coverage

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Proposed Local Coverage Determinations (LCDs) Status Report

Use the selection criteria below to select the Contractor you would like to see Proposed LCD Status Reports for and select the Submit Button to return your results. Select the Proposed LCD title to view the details page for a specific record. You may also view the final LCD for that title by selecting the Final LCD ID. You can also select items using their corresponding check boxes in the right column. After selecting the check boxes you can add the selected items to your basket by selecting the Add to Basket Button.

Proposed LCDs Status Report Selection Criteria

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Proposed LCDs Status Report Results

[39 Records]

Report Creation Date:

12/06/2019

Selection Criteria:

Contractor(s): CGS Administrators, LLC (15201, MAC - Part A, J - 15)

Proposed Status Legend:

D=Proposed under Development, not yet released for comment

C=Proposed LCD released for comment

E=Formal comment period has ended; comments now being considered

F=Final new/revised LCD has been issued for notice

A=Active policy, notice period complete and policy in effect

** Note: Comments submitted after the comment period has ended do not have to be accepted by the contractor.

0 Document(s) Selected

Please Note: Any Proposed policies are denoted by the prefix "DL" in the ID number.

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Comment Period End Date**

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DL38057

Drug Interaction Testing

CGS Administrators, LLC

5/7/2019

6/21/2019

Drug Interaction Testing

DL38378

Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)

CGS Administrators, LLC

10/30/2019

12/14/2019

Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)

DL37614

Helicobacter Pylori Infection Testing

CGS Administrators, LLC

2/14/2018

3/31/2018

Helicobacter Pylori Infection Testing

DL38307

Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

CGS Administrators, LLC

10/30/2019

12/14/2019

Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

DL38268

Immune Thrombocytopenia (ITP) Therapy

CGS Administrators, LLC

10/30/2019

12/14/2019

Immune Thrombocytopenia (ITP) Therapy

DL37578

Micro-Invasive Glaucoma Surgery (MIGS)

CGS Administrators, LLC

6/26/2019

8/9/2019

11/14/2019

Micro-Invasive Glaucoma Surgery (MIGS)

DL38272

MolDX: AlloSure® Cell-Free DNA Testing

CGS Administrators, LLC

10/30/2019

12/14/2019

MolDX: AlloSure® Cell-Free DNA Testing

DL36910

MolDX: APC and MUTYH Gene Testing

CGS Administrators, LLC

6/21/2017

8/5/2017

MolDX: APC and MUTYH Gene Testing

DL37832

MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test

CGS Administrators, LLC

11/15/2018

12/29/2018

2/14/2019

MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test

DL38055

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease

CGS Administrators, LLC

5/7/2019

6/21/2019

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease

DL38303

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease

CGS Administrators, LLC

10/30/2019

12/14/2019

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease

DL38077

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Unfavorable Intermediate Risk Disease

CGS Administrators, LLC

5/7/2019

6/21/2019

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Unfavorable Intermediate Risk Disease

DL37834

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease

CGS Administrators, LLC

11/15/2018

12/29/2018

3/14/2019

MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease

DL38016

MolDX: DecisionDx-Melanoma

CGS Administrators, LLC

10/30/2019

12/14/2019

MolDX: DecisionDx-Melanoma

DL38016

MolDX: DecisionDx-Melanoma

CGS Administrators, LLC

2/13/2019

3/29/2019

MolDX: DecisionDx-Melanoma

DL37905

MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test

CGS Administrators, LLC

11/15/2018

12/29/2018

4/4/2019

MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test

DL38249

MolDX: Erythrocyte Molecular Antigen Typing

CGS Administrators, LLC

10/30/2019

12/14/2019

MolDX: Erythrocyte Molecular Antigen Typing

DL38065

MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Solid Tumors

CGS Administrators, LLC

5/7/2019

6/21/2019

MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Solid Tumors

DL37903

MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer

CGS Administrators, LLC

11/15/2018

12/29/2018

3/28/2019

MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer

DL37608

MolDX: MDS FISH

CGS Administrators, LLC

2/14/2018

3/31/2018

3/21/2019

MolDX: MDS FISH

DL38270

MolDX: Molecular Microscope® Diagnostic System for the Heart

CGS Administrators, LLC

10/30/2019

12/14/2019

MolDX: Molecular Microscope® Diagnostic System for the Heart

DL37907

MolDX: myPath Melanoma Assay

CGS Administrators, LLC

11/15/2018

12/29/2018

4/18/2019

MolDX: myPath Melanoma Assay

DL37909

MolDX: NeuroIDgenetix® Test for Depression

CGS Administrators, LLC

11/15/2018

12/29/2018

MolDX: NeuroIDgenetix® Test for Depression

DL38067

MolDX: Next-Generation Sequencing for Solid Tumors

CGS Administrators, LLC

5/7/2019

6/21/2019

MolDX: Next-Generation Sequencing for Solid Tumors

DL38070

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

CGS Administrators, LLC

5/7/2019

6/21/2019

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

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CGS Administrators, LLC (15004, HHH MAC, J - 15)
CGS Administrators, LLC (15101, MAC - Part A, J - 15)
CGS Administrators, LLC (15102, MAC - Part B, J - 15)
CGS Administrators, LLC (15201, MAC - Part A, J - 15)
CGS Administrators, LLC (15202, MAC - Part B, J - 15)
CGS Administrators, LLC (17013, DME MAC, J-B)
CGS Administrators, LLC (18003, DME MAC, J-C)
First Coast Service Options, Inc. (09101, A and B MAC, J - N)
First Coast Service Options, Inc. (09102, A and B MAC, J - N)
First Coast Service Options, Inc. (09201, A and B MAC, J - N)
First Coast Service Options, Inc. (09202, A and B MAC, J - N)
First Coast Service Options, Inc. (09302, A and B MAC, J - N)
National Government Services, Inc. (06004, HHH MAC, J - 06)
National Government Services, Inc. (06101, MAC - Part A, J - 06)
National Government Services, Inc. (06102, MAC - Part B, J - 06)
National Government Services, Inc. (06201, MAC - Part A, J - 06)
National Government Services, Inc. (06202, MAC - Part B, J - 06)
National Government Services, Inc. (06301, MAC - Part A, J - 06)
National Government Services, Inc. (06302, MAC - Part B, J - 06)
National Government Services, Inc. (13101, A and B and HHH MAC, J - K)
National Government Services, Inc. (13102, A and B and HHH MAC, J - K)
National Government Services, Inc. (13201, A and B and HHH MAC, J - K)
National Government Services, Inc. (13202, A and B and HHH MAC, J - K)
National Government Services, Inc. (13282, A and B and HHH MAC, J - K)
National Government Services, Inc. (13292, A and B and HHH MAC, J - K)
National Government Services, Inc. (14014, A and B and HHH MAC, J - K)
National Government Services, Inc. (14111, A and B and HHH MAC, J - K)
National Government Services, Inc. (14112, A and B and HHH MAC, J - K)
National Government Services, Inc. (14211, A and B and HHH MAC, J - K)
National Government Services, Inc. (14212, A and B and HHH MAC, J - K)
National Government Services, Inc. (14311, A and B and HHH MAC, J - K)
National Government Services, Inc. (14312, A and B and HHH MAC, J - K)
National Government Services, Inc. (14411, A and B and HHH MAC, J - K)
National Government Services, Inc. (14412, A and B and HHH MAC, J - K)
National Government Services, Inc. (14511, A and B and HHH MAC, J - K)
National Government Services, Inc. (14512, A and B and HHH MAC, J - K)
Noridian Healthcare Solutions, LLC (01111, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (01112, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (01182, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (01211, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (01212, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (01311, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (01312, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (01911, A and B MAC, J - E)
Noridian Healthcare Solutions, LLC (02101, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (02102, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (02201, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (02202, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (02301, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (02302, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (02401, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (02402, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03101, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03102, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03201, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03202, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03301, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03302, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03401, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03402, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03501, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03502, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03601, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (03602, A and B MAC, J - F)
Noridian Healthcare Solutions, LLC (16013, DME MAC, J-A)
Noridian Healthcare Solutions, LLC (19003, DME MAC, J-D)
Novitas Solutions, Inc. (04111, A and B MAC, J - H)
Novitas Solutions, Inc. (04112, A and B MAC, J - H)
Novitas Solutions, Inc. (04211, A and B MAC, J - H)
Novitas Solutions, Inc. (04212, A and B MAC, J - H)
Novitas Solutions, Inc. (04311, A and B MAC, J - H)
Novitas Solutions, Inc. (04312, A and B MAC, J - H)
Novitas Solutions, Inc. (04411, A and B MAC, J - H)
Novitas Solutions, Inc. (04412, A and B MAC, J - H)
Novitas Solutions, Inc. (04911, A and B MAC, J - H)
Novitas Solutions, Inc. (07101, A and B MAC, J - H)
Novitas Solutions, Inc. (07102, A and B MAC, J - H)
Novitas Solutions, Inc. (07201, A and B MAC, J - H)
Novitas Solutions, Inc. (07202, A and B MAC, J - H)
Novitas Solutions, Inc. (07301, A and B MAC, J - H)
Novitas Solutions, Inc. (07302, A and B MAC, J - H)
Novitas Solutions, Inc. (12101, A and B MAC, J - L)
Novitas Solutions, Inc. (12102, A and B MAC, J - L)
Novitas Solutions, Inc. (12201, A and B MAC, J - L)
Novitas Solutions, Inc. (12202, A and B MAC, J - L)
Novitas Solutions, Inc. (12301, A and B MAC, J - L)
Novitas Solutions, Inc. (12302, A and B MAC, J - L)
Novitas Solutions, Inc. (12401, A and B MAC, J - L)
Novitas Solutions, Inc. (12402, A and B MAC, J - L)
Novitas Solutions, Inc. (12501, A and B MAC, J - L)
Novitas Solutions, Inc. (12502, A and B MAC, J - L)
Novitas Solutions, Inc. (12901, A and B MAC, J - L)
Palmetto GBA (10111, A and B MAC, J - J)
Palmetto GBA (10112, A and B MAC, J - J)
Palmetto GBA (10211, A and B MAC, J - J)
Palmetto GBA (10212, A and B MAC, J - J)
Palmetto GBA (10311, A and B MAC, J - J)
Palmetto GBA (10312, A and B MAC, J - J)
Palmetto GBA (11004, A and B and HHH MAC, J - M)
Palmetto GBA (11201, A and B and HHH MAC, J - M)
Palmetto GBA (11202, A and B and HHH MAC, J - M)
Palmetto GBA (11301, A and B and HHH MAC, J - M)
Palmetto GBA (11302, A and B and HHH MAC, J - M)
Palmetto GBA (11401, A and B and HHH MAC, J - M)
Palmetto GBA (11402, A and B and HHH MAC, J - M)
Palmetto GBA (11501, A and B and HHH MAC, J - M)
Palmetto GBA (11502, A and B and HHH MAC, J - M)
Wisconsin Physicians Service Insurance Corporation (05101, MAC - Part A, J - 05)
Wisconsin Physicians Service Insurance Corporation (05102, MAC - Part B, J - 05)
Wisconsin Physicians Service Insurance Corporation (05201, MAC - Part A, J - 05)
Wisconsin Physicians Service Insurance Corporation (05202, MAC - Part B, J - 05)
Wisconsin Physicians Service Insurance Corporation (05301, MAC - Part A, J - 05)
Wisconsin Physicians Service Insurance Corporation (05302, MAC - Part B, J - 05)
Wisconsin Physicians Service Insurance Corporation (05401, MAC - Part A, J - 05)
Wisconsin Physicians Service Insurance Corporation (05402, MAC - Part B, J - 05)
Wisconsin Physicians Service Insurance Corporation (05901, MAC - Part A, J - 05)
Wisconsin Physicians Service Insurance Corporation (08101, MAC - Part A, J - 08)
Wisconsin Physicians Service Insurance Corporation (08102, MAC - Part B, J - 08)
Wisconsin Physicians Service Insurance Corporation (08201, MAC - Part A, J - 08)
Wisconsin Physicians Service Insurance Corporation (08202, MAC - Part B, J - 08)