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National Coverage Determinations (NCDs)

[346 Records]
National Coverage Determinations (NCDs)
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NCD Section
NCD Title
100.3 24-Hour Ambulatory Esophageal pH Monitoring
110.19 Abarelix for the Treatment of Prostate Cancer
140.1 Abortion
30.3 Acupuncture
30.3.1 Acupuncture for Fibromyalgia
30.3.2 Acupuncture for Osteoarthritis
260.1 Adult Liver Transplantation
280.8 Air-Fluidized Bed
190.25 Alpha-fetoprotein
20.19 Ambulatory Blood Pressure Monitoring
160.22 Ambulatory EEG Monitoring
10.6 Anesthesia in Cardiac Pacemaker Surgery
110.17 Anti-Cancer Chemotherapy for Colorectal Cancer
110.9 Antigens Prepared for Sublingual Administration
110.3 Anti-Inhibitor Coagulant Complex (AICC)
110.14 Apheresis (Therapeutic Pheresis)
110.18 Aprepitant for Chemotherapy-Induced Emesis
150.9 Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee
20.9 Artificial Hearts and Related Devices
160.7.1 Assessing Patient's Suitability for Electrical Nerve Stimulation Therapy
10.5 Autogenous Epidural Blood Graft
110.22 Autologous Cellular Immunotherapy Treatment
100.1 Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity
20.31.3 Benson-Henry Institute Cardiac Wellness Program
220.6.20 Beta Amyloid Positron Tomography in Dementia and Neurodegenerative Disease
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National Coverage Analyses (NCAs)

[230 Records]
National Coverage Analyses (NCAs)
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NCA Tracking #
NCA Title
Review Status
Review Type
CAG-00238N Abarelix for the Treatment of Prostate Cancer Closed New
CAG-00049N Actinic Keratoses Closed New
CAG-00452N Acupuncture for Chronic Low Back Pain Open New
CAG-00174N Acupuncture for Fibromyalgia Closed New
CAG-00062N Acupuncture for Nausea after Chemotherapy and Post-operative Pain Closed New
CAG-00175N Acupuncture for Osteoarthritis Closed New
CAG-00017R Air-Fluidized Beds for Pressure Ulcers Closed 1st Recon
CAG-00017N Air-Fluidized Beds for Pressure Ulcers Closed New
CAG-00415N Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndrome Closed New
CAG-00067R Ambulatory Blood Pressure Monitoring Closed 1st Recon
CAG-00067N Ambulatory Blood Pressure Monitoring Closed New
CAG-00067R2 Ambulatory Blood Pressure Monitoring (ABPM) Closed 2nd Recon
CAG-00179N Anticancer Chemotherapy for Colorectal Cancer Closed New
CAG-00248R Aprepitant for Chemotherapy-Induced Emesis Closed 1st Recon
CAG-00248N Aprepitant for Chemotherapy-Induced Emesis Closed New
CAG-00167N Arthroscopy for the Osteoarthritic Knee Closed New
CAG-00322N Artificial Hearts Closed New
CAG-00055N Augmentative and Alternative Communication (AAC) Devices for Speech Impairment Closed New
CAG-00190R2 Autologous Blood Derived Products for Chronic Non-Healing Wounds Closed 2nd Recon
CAG-00190R3 Autologous Blood-Derived Products for Chronic Non-Healing Wounds Closed 3rd Recon
CAG-00190N Autologous Blood-Derived Products for Chronic Non-Healing Wounds Closed New
CAG-00422N Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer Closed New
CAG-00050R Autologous Stem Cell Transplantation (AuSCT) for Amyloidosis Closed 1st Recon
CAG-00011R Autologous Stem Cell Transplantation (AuSCT) for Multiple Myeloma Closed 1st Recon
CAG-00011N Autologous Stem Cell Transplantation (AuSCT) for Multiple Myeloma Closed New
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Coding Analyses for Labs (CALs)

[37 Records]
Coding Analyses for Labs (CALs)
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CAL Tracking #
CAL Title
Review Status
Review Type
CAG-00285N Blood Counts (Addition of ICD-9-CM Codes V77.1, V81.0, V81.1, and V81.2 to the list of Codes that Do Not Support Medical Necessity) Closed New
CAG-00182N Blood Counts (Revision of CPT Codes) Closed New
CAG-00183N Blood Glucose Testing (Revision of ICD-9-CM Codes for Osteomyelitis) Closed New
CAG-00297N Codes That Are Not Covered by Medicare (Removal of ICD-9-CM Code V76.44, Prostate Cancer Screening, From the List) Closed New
CAG-00298N Coding Guidelines for Urine Culture Closed New
CAG-00373N Glycated Hemoglobin/Glycated Protein (Addition of CPT Code 83037, Hemoglobin; glycosylated [A1c] by device cleared by FDA for home use) Closed New
CAG-00336N Glycated Hemoglobin/Glycated Protein (Addition of ICD-9-CM 271.3, Intestinal disaccharidase deficiencies and disaccharide malabsorption) Closed New
CAG-00283N Hepatitis Panel (Removal of ICD-9-CM Code 784.69, Other symbolic dysfunction, from the list of Codes Covered by Medicare) Closed New
CAG-00304N Hepatitis Panel/Acute Hepatitis Panel (Addition of ICD-9-CM 790.4, Elevation of Levels of Transaminase or Lactic Acid Dehydrogenase) Closed New
CAG-00335N Hepatitis Panel/Acute Hepatitis Panel (Addition of ICD-9-CM 790.5, Other nonspecific abnormal serum enzyme levels, as a covered indication) Closed New
CAG-00372N Human Chorionic Gonadotropin (Addition of ICD-9-CM Code 158.9, Malignant Neoplasm of Peritoneum, Unspecified) Closed New
CAG-00266N Lipid and Blood Glucose Testing (Modification of Code List to Implement Screening Benefit Added by Medicare Modernization Act (MMA) Closed New
CAG-00327N Partial Thromboplastin Time (Addition of ICD-9-CM 289.81, Primary Hypercoagulable State as a covered indication) Closed New
CAG-00338N Partial Thromboplastin Time (PTT) (Addition of ICD-9-CM V58.83, Encounter for therapeutic drug monitoring, as a covered indication) Closed New
CAG-00326N Prostate Specific Antigen (Addition of ICD-9-CM 600.00, Hypertrophy (benign) of Prostate Without Urinary Obstruction, as a covered indication) Closed New
CAG-00232N Prostate Specific Antigen (Inclusion of ICD-9-CM Code 600.01 for BPH with Urine Obstruction) Closed New
CAG-00328N Prothrombin Time (Addition of ICD-9-CM 289.81, Primary Hypercoagulable State as a Covered Indication) Closed New
CAG-00339N Prothrombin Time (PT) (Addition of ICD-9-CM V58.83, Encounter for therapeutic drug monitoring, as a covered indication) Closed New
CAG-00428N Prothrombin Time (PT) (Addition of two ICD-9-CM diagnosis codes) Closed New
CAG-00246N Prothrombin Time (PT) and Partial Thromboplastin Time (PTT) tests (Removal of Unspecified Joint Replacements) Closed New
CAG-00404N Prothrombin Time (PT) NCD 190.17 (Addition of ICD-9-CM diagnosis code 197.7 Secondary Malignant Neoplasm of Liver) Closed New
CAG-00187N Prothrombin Time and Fecal Occult Blood (Revision of ICD-9-CM Codes for Injury to Gastrointestinal Tract) Closed New
CAG-00184N Prothrombin Time and Partial Thromboplastin Time (Revision of ICD-9-CM Codes for Pre-operative Examinations) Closed New
CAG-00201N Prothrombin Time and Partial Thromboplastin Time (Revision of ICD-9-CM Codes for Swelling of Limb) Closed New
CAG-00331N PSA (Addition of ICD-9-CM 600.10, Nodular prostate without urinary obstruction and 600.11, with urinary obstruction, as covered indications) Closed New
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MEDCAC Meetings

[70 Records]
MEDCAC Meetings
Page 1 of 3
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Meeting Date
MEDCAC Title
09/15/1999 Autologous Stem Cell Transplantation (AuSCT) for Multiple Myeloma (Drugs, Biologics, and Therapeutics Panel)
11/15/1999 Human Tumor Assay Systems (Laboratory and Diagnostic Services Panel)
12/08/1999 Autologous Stem Cell Transplantation (AuSCT) for Multiple Myeloma & Human Tumor Assay Systems (Executive Committee)
03/01/2000 Executive Committee
04/12/2000 Urinary Incontinence (Medical and Surgical Procedures Panel)
06/06/2000 Urinary Incontinence (Executive Committee)
10/17/2000 Electrostimulation for Wounds (Medical and Surgical Procedures Panel)
10/18/2000 Sacral Nerve Stimulation for Urge Urinary Incontinence (Medical and Surgical Procedures Panel)
11/07/2000 Positron Emission Tomography (FDG) (Executive Committee)
02/21/2001 Ambulatory Blood Pressure Monitoring (Medical Devices and Prosthetics Panel)
02/22/2001 Electrostimulation for Wounds & Sacral Nerve Stimulation for Urge Urinary Incontinence (Executive Committee)
06/14/2001 Ambulatory Blood Pressure Monitoring (Executive Committee)
06/19/2001 Positron Emission Tomography (FDG) for Breast Cancer (Diagnostic Imaging Panel)
06/20/2001 Levocarnitine for End Stage Renal Disease (Drugs, Biologics, and Therapeutics Panel)
10/17/2001 Levocarnitine for End Stage Renal Disease & Positron Emission Tomography (FDG) for Breast Cancer (Executive Committee)
01/10/2002 Positron Emission Tomography (FDG) for Alzheimer's Disease/Dementia (Diagnostic Imaging Panel)
04/16/2002 Positron Emission Tomography (FDG) for Alzheimer's Disease/Dementia (Executive Committee)
06/12/2002 Deep Brain Stimulation for Parkinson's Disease (Medical and Surgical Procedures Panel)
09/25/2002 Deep Brain Stimulation for Parkinson's Disease (Executive Committee)
02/12/2003 Implantable Cardioverter Defibrillators
03/12/2003 Ventricular Assist Devices as Destination Therapy
09/09/2003 Ocular Photodynamic Therapy with Verteporfin for Macular Degeneration
07/14/2004 Transmyocardial revascularization (TMR) / Percutaneous Myocardial Revascularization (PMR)
09/28/2004 Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA)
11/04/2004 Bariatric Surgery for Treatment of Morbid Obesity
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Technology Assessments (TAs)

[101 Records]
Technoloty Assessments (TAs)
Page 1 of 5
FirstPrev12345NextLast
TA Title
A Comparison of the Cost-Effectiveness of Fecal Occult Blood Tests with Different Test Characteristics in the Context of Annual Screening in the Medicare Population
A Horizon Scan: Uses of Hyperbaric Oxygen Therapy
A Proposed Framework to Evaluate Home Tests for Use in the Management of Chronic Diseases
A systematic review of loss-of-heterozygosity based topographic genotyping with PathfinderTG®
Actinic Keratoses: Final Report
Acupuncture for Fibromyalgia
Acupuncture for Osteoarthritis
Air-Fluidized Beds Used for Treatment of Pressure Ulcers in the Home Environment
Ambulatory Blood Pressure Monitoring For Adults With Elevated Office Blood Pressure
Anti-Vascular Endothelial Growth Factor Treatment for Diabetic Macular Edema
Applicability of the Evidence Regarding Intensive Glycemic Control and Self-Monitored Blood Glucose to Medicare Patients with Type 2 Diabetes
Assessment on Implantable Defibrillators and the Evidence for Primary Prevention of Sudden Cardiac Death
Bilateral Deep Brain Stimulation (Dbs) Of The Subthalamic Nucleus (Stn) Or The Globus Pallidus Interna (Gpi) For Treatment Of Advanced Parkinson's Disease
Biofeedback in the Treatment of Urinary Incontinence in Adults
Bone Morphogenetic Protein: The State of the Evidence of On-Label and Off-Label Use
Cardiac Catheterization in Freestanding Clinics
Catheter Ablation for Treatment of Atrial Fibrillation
Cognitive Outcomes After Cardiovascular Procedures in Older Adults: A Systematic Review
Comparative evaluation of radiation treatments for clinically localized prostate cancer: an update
Compendia for Coverage of Off-Label Uses of Drugs and Biologics in an Anticancer Chemotherapeutic Regimen
Consideration of Evidence on Antiemetic Drugs for Nausea and Vomiting Associated with Chemotherapy or Radiation Therapy in Adults
COST-EFFECTIVENESS OF CT COLONOGRAPHY TO SCREEN FOR COLORECTAL CANCER
COST-EFFECTIVENESS OF DNA STOOL TESTING TO SCREEN FOR COLORECTAL CANCER
Decompression Therapy for the Treatment of Lumbosacral Pain
Definition of Treatment-Resistant Depression in the Medicare Population
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Medicare Coverage Documents (MCDs)

[20 Records]
Medicare Coverage Documents (MCDs)
Page 1 of 1
MCD Type
MCD Title
Date Updated
Compendia AMA-DE Compendium Revision Request - CAG-00388 8/30/2019
Compendia Clinical Pharmacology Compendium Revision Request - CAG-00392 8/30/2019
Guidance Documents Factors CMS Considers in Commissioning External Technology Assessments 11/18/2013
Guidance Documents Factors CMS Considers in Referring Topics to the Medicare Evidence Development & Coverage Advisory Committee 2/6/2017
Expedited Process to Remove National Coverage Determinations Final Decision for National Coverage Determinations Proposed for Removal on March 18, 2015 10/1/2015
Expedited Process to Remove National Coverage Determinations Final Decision for National Coverage Determinations Proposed for Removal on November 27, 2013 12/19/2014
Guidance Documents Guidance for the Public, Industry, and CMS Staff: Coverage with Evidence Development 2/6/2017
National Benefit Category Analyses INDEPENDENCE iBOT 4000 Mobility System: An Interactive Balancing Mobility System 12/17/2018
CMS Solicitation of Public Comments. Medical Literature for Local Medicare Contractors to Determine Medically Accepted Indications for Drugs and Biologicals Used Anticancer Treatment 9/23/2015
CMS Solicitation of Public Comments. Monitoring of Erythropoietin Stimulating Agents for Beneficiaries with End Stage Renal Disease 2/6/2017
Expedited Process to Remove National Coverage Determinations National Coverage Determinations Proposed for Removal (March 2015) 3/19/2015
Expedited Process to Remove National Coverage Determinations National Coverage Determinations Proposed for Removal (November 2013) 12/18/2014
Compendia NCCN Compendium Revision Request - CAG-00389 8/30/2019
Potential National Coverage Determination (NCD) Topics Potential NCD Topics 7/19/2016
CMS Solicitation of Public Comments. Proposed MEDCAC Charter 3/4/2016
National Benefit Category Analyses Reconstructive Treatments for Facial Lipodystrophy Syndrome 2/6/2017
National Benefit Category Analyses Speech Generating Devices 8/17/2015
Compendia Thomson Micromedex DrugDex ® Compendium Revision Request - CAG-00391 8/30/2019
Compendia Thomson Micromedex DrugPoints Compendium Revision Request - CAG-00390 8/30/2019
Compendia Wolters Kluwer Clinical Drug Information Lexi-Drugs Compendium Revision Request - CAG-00443O 8/30/2019
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