contractor articles (433)
Active Articles:
A48003: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) – Supplemental Instructions ArticleA52370: Billing and Coding: Bevacizumab and biosimilars
A52379: Billing and Coding: CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique)
A52399: Billing and Coding: Denosumab (Prolia ™, Xgeva ™)
A52420: Billing and Coding: Hyaluronans Intra-articular Injections of
A52421: Billing and Coding: Ibandronate Sodium
A52423: Billing and Coding: Infliximab and biosimilars
A52434: Health and Behavior Assessment/Intervention – Medical Policy Article
A52447: Laparoscopic Sleeve Gastrectomy (LSG) – Medical Policy Article
A52448: Billing and Coding: Omalizumab
A52450: Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
A52451: Billing and Coding: Ranibizumab and biosimilars, Aflibercept, Aflibercept HD, Brolucizumab-dbll and Faricimab-svoa
A52453: Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
A52825: Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians – Medical Policy Article
A52837: Blepharoplasty - Medical Policy Article
A52840: Clinical Trials – Medical Policy Article
A52842: Local Coverage Determination (LCD) Reconsideration Process - Medical Policy Article
A52849: Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
A52850: Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52855: Billing and Coding: Drugs and Biologicals
A52863: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
A52866: Billing and Coding: Speech-Language Pathology
A52868: Billing and Coding: Transesophageal Echocardiography (TEE)
A52870: Billing and Coding: Treatment of Varicose Veins of the Lower Extremity
A53019: Polysomnography and Sleep Studies – Medical Policy Article
A53020: Process for Determining Self-Administered Drug Exclusions – Medical Policy Article
A53022: Self-Administered Drug Exclusion List: Medical Policy Article
A54403: Response to Comments: Autonomic Function Testing LCD
A54548: Billing and Coding: Eculizumab
A54602: Billing and Coding: Removal of Benign Skin Lesions
A54909: Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers
A55124: Response to Comments: Proton Beam Therapy
A55257: Response to Comments: Cataract Extraction
A55261: Response to Comments: Implantable Miniature Telescope (IMT)
A55318: Response to Comments: Osteopathic Manipulative Treatment
A55334: Response to Comments: Molecular Pathology Procedures
A55378: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Acute Myelogenous Leukemia (AML)
A55421: Response to Comments: Peripheral Nerve Blocks
A55475: Response to Comments: Visual Electrophysiology Testing
A55672: Billing and Coding: Frequency of Hemodialysis
A55701: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Myelodysplastic Syndromes
A55704: Response to Comments: Varicose Veins of Lower Extremity, Treatment of
A55707: Response to Comments: Micro-Invasive Glaucoma Surgery (MIGS)
A55749: Response to Comments: Select Minimally Invasive GERD Procedures
A55848: Response to Comments: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
A55852: Response to Comments: Vitamin D Assay Testing
A55948: Response to Comments: Prostate Rectal Spacers
A55974: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
A55982: Response to Comments: Molecular Pathology Procedures
A56109: Response to Comments: Water Vapor Thermal Therapy for LUTS/BPH
A56115: Response to Comments: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
A56178: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
A56198: New Local Coverage Determination (LCD) Request Process
A56199: Billing and Coding: Molecular Pathology Procedures
A56216: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms- Related to Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms (L37810)
A56247: Response to Comments: Biomarker Testing for Neuroendocrine Tumors LCD L37851
A56248: Billing and Coding: Corneal Hysteresis
A56252: Response to Comments: Frequency of Hemodialysis
A56326: Billing and Coding: Implantable Automatic Defibrillators
A56529: Response to Comments: Corneal Hysteresis
A56537: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56544: Billing and Coding: Cataract Extraction
A56549: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
A56550: Billing and Coding: Panretinal (Scatter) Laser Photocoagulation
A56551: Billing and Coding: Visual Fields Testing
A56566: Billing and Coding: Outpatient Physical and Occupational Therapy Services
A56609: Billing and Coding: Biomarker Testing for Prostate Cancer Diagnosis
A56617: Billing and Coding: Debridement Services
A56726: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
A56736: Response to Comments: Water Vapor Thermal Therapy for LUTS/BPH
A56737: Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
A56742: Response to Comments: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
A56743: Billing and Coding: Cardiovascular Nuclear Medicine
A56747: Billing and Coding: Magnetic Resonance Angiography (MRA)
A56758: Billing and Coding: Non-Invasive Vascular Studies
A56766: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
A56781: Billing and Coding: Transthoracic Echocardiography (TTE)
A56783: Response to Comments: Micro-Invasive Glaucoma Surgery (MIGS)
A56787: Billing and Coding: Nonvascular Extremity Ultrasound
A56793: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
A56797: Billing and Coding: Fluid Jet System Treatment for LUTs/BPH
A56823: Billing and Coding: Percutaneous Coronary Intervention
A56826: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
A56827: Billing and Coding: Proton Beam Therapy
A56837: Billing and Coding: Reduction Mammaplasty
A56844: Billing and Coding: RAST Type Tests
A56845: Billing and Coding: Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency
A56850: Billing and Coding: Psychiatric Partial Hospitalization Programs
A56865: Billing and Coding: Psychiatric Inpatient Hospitalization
A56867: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
A56874: Billing and Coding: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
A56937: Billing and Coding: Psychiatry and Psychology Services
A56954: Billing and Coding: Osteopathic Manipulative Treatment
A57026: Billing and Coding: Computed Tomographic (CT) Colonography for Diagnostic Uses
A57030: Billing and Coding: EEG – Ambulatory Monitoring
A57059: Billing and Coding: Biomarker Testing for Neuroendocrine Tumors/Neoplasms
A57060: Billing and Coding: Visual Electrophysiology Testing
A57092: Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea
A57427: Billing and Coding: Transrectal Ultrasound
A57428: Billing and Coding: Total Joint Arthroplasty
A57435: Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor
A57436: Response to Comments: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
A57452: Billing and Coding: Peripheral Nerve Blocks
A57453: Billing and Coding: Posterior Tibial Nerve Stimulation for Voiding Dysfunction
A57455: Billing and Coding: Urodynamics
A57528: Billing and Coding: Transcranial Magnetic Stimulation
A57668: Billing and Coding: Nerve Conduction Studies and Electromyography
A57736: Billing and Coding: Vitamin D Assay Testing
A57759: Billing and Coding: Routine Foot Care and Debridement of Nails
A57889: Chiropractic Services – Medical Policy Article
A57890: Response to Comments: Select Minimally Invasive (GERD) Procedures
A57921: Response to Comments: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
A57922: Response to Comments: Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
A57967: Response to Comments: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea
A58100: Response to Comments: Prostate Rectal Spacers
A58112: Response to Comments: Multimarker Serum Tests Related to Ovarian Cancer Testing
A58116: Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM)
A58145: Response to Comments: Transcranial Magnetic Stimulation
A58152: Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP)
A58294: Billing and Coding: Colon Capsule Endoscopy (CCE)
A58327: Response to Comments: Computed Tomography Cerebral Perfusion Analysis (CTP)
A58338: Response to Comments: Water Vapor Thermal Therapy for LUTS/BPH
A58342: Response to Comments: Implantable Continuous Glucose Monitors (I-CGM)
A58445: Response to Comments: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
A58465: Response to Comments: Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
A58546: Response to Comments: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor
A58614: Response to Comments: Select Minimally Invasive GERD Procedures
A58628: Response to Comments: Heavy Metal Testing
A58630: Response to Comments: Colon Capsule Endoscopy (CCE)
A58649: Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
A58656: Billing and Coding: Thyroid Nodule Molecular Testing
A58658: Response to Comments: Facet Joint Interventions for Pain Management
A58693: Response to Comments: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
A58745: Billing and Coding: Epidural Steroid Injections for Pain Management
A58814: Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease
A58819: Response to Comments: Platelet Rich Plasma
A58853: Response to Comments: Thyroid Nodule Molecular Testing
A58889: Response to Comments: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
A58893: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
A58912: Response to Comments: Epidural Steroid Injections for Pain Management
A58959: Response to Comments: Colon Capsule Endoscopy (CCE)
A58963: Billing and Coding: Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE)
A58984: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
A58991: Response to Comments: Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease
A59060: Sterilization
A59078: Response to Comments: Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG)
A59088: Response to Comments: Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE)
A59105: Billing and Coding: Off-Label Use of Intravenous Immune Globulin (IVIG)
A59213: Response to Comments: Off-label Use of Rituximab and Rituximab Biosimilars
A59216: Response to Comments: Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
A59217: Off-Label Use of Chemotherapeutic Drugs and Biologicals for Non-Cancer Indications
A59218: Off-Label Use of Drugs and Biologicals for Anti-Cancer Chemotherapeutic Regimen
A59220: Response to Comments: Biomarker Testing for Prostate Cancer Diagnosis
A59233: Billing and Coding: Sacroiliac Joint Injections and Procedures
A59251: Response to Comments: Off-Label Use of Intravenous Immune Globulin (IVIG)
A59302: Response to Comments: Pain Management
A59311: Billing and Coding: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin
A59319: Response to Comments: Sacroiliac Joint Injections and Procedures
A59327: Response to Comments: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease
A59328: Response to Comments: Transcranial Magnetic Stimulation
A59340: Response to Comments: Water Vapor Thermal Therapy for LUTS/BPH
A59383: Response to Comments: Molecular Pathology Procedures
A59416: Billing and Coding: Urine Drug Testing
A59451: Response to Comments: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin
A59487: Billing and Coding: Trigger Point Injections (TPI)
A59578: Response to Comments: Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
A59581: Response to Comments: Urine Drug Testing
A59595: Billing and Coding: KidneyIntelX and KidneyIntelX.dkd Testing
A59605: Response to Comments: Fluid Jet System Treatment for LUTS/BPH
A59655: Response to Comments: Pain Management
A59656: Response to Comments: Trigger Point Injections (TPI)
A59661: Pegfilgrastim (Fulphila; Neulasta; Neulasta Onpro; Nyvepria; Udenyca; Ziextenzo) J2506
A59733: Billing and Coding: Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)
A59756: Response to Comments: Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
A59758: Response to Comments: KidneyIntelX and KidneyIntelX.dkd Testing
A59767: Response to Comments: Molecular Pathology Procedures
A59772: Response to Comments: Cervical Fusion
A59773: Response to Comments: Facet Joint Interventions for Pain Management
A59912: Response to Comments: Micro-Invasive Glaucoma Surgery (MIGS)
A59929: Response to Comments: Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)
Retired Articles:
A44399: Erythropoiesis Stimulating Agents (ESA) – Supplemental Instructions ArticleA44455: Cardiac Output Measurement Thoracic Electrical Bioimpedance – Supplemental Instructions Article
A44614: Varicose Veins of the Lower Extremity, Treatment of - Supplemental Instructions Article
A44896: Psychiatric Inpatient Hospitalization – Supplemental Instructions Article
A45897: Visual Fields Testing - Supplemental Instructions Article
A45910: Investigational Device Exemption Requests - Medical Policy Article
A45934: Routine Foot Care and Debridement of Nails - Supplemental Instructions Article
A45936: Ophthalmic Biometry for Intraocular Lens Power Calculation – Supplemental Instructions Article
A46071: Medical Nutrition Therapy (MNT) Services - Medical Policy Article
A46082: OASIS® Wound Matrix and OASIS® Ultra Tri-Layer Matrix – Related to LCD L26003
A46085: Integra® Dermal Regeneration Template and Integra® Bilayer Matrix Wound Dressing – Related to LCD L26003
A46087: Ibandronate Sodium (e.g., Boniva®) – Related to LCD L25820
A46091: Ranibizumab (Lucentis™) and Aflibercept (Eylea™) – Related to LCD L25820
A46095: Bevacizumab (Avastin™) - Related to LCD L25820
A46192: Transrectal Ultrasound – Supplemental Instructions Article
A46764: Infliximab (e.g., Remicade™) – Related to LCD L25820
A47385: Chiropractic Services – Supplemental Instructions Article
A47394: Non-Invasive Vascular Studies – Supplemental Instructions Article
A47407: Speech-Language Pathology – Supplemental Instructions Article
A47582: Bortezomib (Velcade®) – Related to LCD L25820
A48000: Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures – Supplemental Instructions Article
A48012: Panretinal (Scatter) Laser Photocoagulation – Supplemental Instructions Article
A48208: Filgrastim, Pegfilgrastim, Tbo-filgrastim (e.g., Neupogen®, Neulasta TM, Granix TM) - Related to LCD L25820
A48209: Health and Behavior Assessment/Intervention – Medical Policy Article
A48211: Thyrotropin Alfa (Thyrogen®) - Related to LCD L25820
A48292: Collagen Implantation for Urinary Incontinence - Medical Policy Article
A48361: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee – Medical Policy Article
A48362: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography – Supplemental Instructions Article
A48393: Corneal Pachymetry - Supplemental Instructions Article
A48420: Intravenous Iron Therapy – Related to LCD L25820
A49058: CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique) - Medical Policy Article
A49273: Vagus Nerve Stimulation – Medical Policy Article
A49286: Clinical Trials – Medical Policy Article
A49636: Rituximab (Rituxan®) (effective 2010) - Related to LCD L25820
A49710: Tetanus Immunization - Medical Policy Article
A50548: Colorectal Cancer Screening – Medical Policy Article
A50612: Outpatient Physical and Occupational Therapy Services - Supplemental Instructions Article
A50627: AlloDerm® Regenerative Tissue Matrix – Related to LCD L26003
A50633: Verteporfin (e.g., Visudyne™) - Related to LCD L25820
A51615: Implantable Miniature Telescope (IMT) – Supplemental Instructions Article
A51630: Dialysis Access Maintenance - Medical Policy Article
A51723: Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians – Medical Policy Article
A51789: Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based – Medical Policy Article
A52159: EpiFix® - Related to LCD L26003
A52174: Hyperbaric Oxygen (HBO) Therapy - Medical Policy Article
A52371: Billing and Coding: Bortezomib
A52378: Billing and Coding: Colorectal Cancer Screening – Medical Policy Article
A52389: Apligraf® – Related to LCD L33391
A52396: PriMatrix™ Dermal Repair Scaffold - Related to LCD L33391
A52408: Billing and Coding: Filgrastim, Pegfilgrastim, Tbo-filgrastim and biosimilars
A52410: GRAFTJACKET® Regenerative Tissue Matrix-Ulcer Repair and GRAFTJACKET® XPRESS Flowable Soft Tissue Scaffold – Related to LCD L33391
A52411: TheraSkin® – Related to LCD L33391
A52452: Billing and Coding: Rituximab, biosimilars and Rituximab and hyaluronidase human (Rituxan Hycela™)
A52819: Cataract Extraction - Supplemental Instructions Article
A52822: Panretinal (Scatter) Laser Photocoagulation – Supplemental Instructions Article
A52829: Visual Fields Testing - Supplemental Instructions Article
A52839: Dialysis Access Maintenance - Medical Policy Article
A52856: Erythropoiesis Stimulating Agents (ESA) – Supplemental Instructions Article
A52857: Implantable Miniature Telescope (IMT) – Supplemental Instructions Article
A52862: Outpatient Physical and Occupational Therapy Services - Supplemental Instructions Article
A52879: Billing and Coding: Stem Cell Transplantation
A54862: Billing and Coding: Nivolumab
A56195: Billing and Coding: Category III CPT® Codes
A56590: Billing and Coding: Water Vapor Thermal Therapy for LUTS/BPH
A56702: Billing and Coding: Salvage High-intensity Focused Ultrasound (HIFU) Treatment in Prostate Cancer (PCa)
A56761: Billing and Coding: Urine Drug Testing