Medical Coding Prep

Question

In CPT Coding what are LCDs used for?

Answer 1

Local Coverage Determinations (LCDs) are used by the Medicare Administrative Contractor (MAC) in the absence of an NCD. LCDs determine Medicare coverage for services. For details on how it affects payment for specific services, contact your regional MAC. See link below and your MAC's website

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https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/index