local coverage determination


Also found in: Acronyms.

lo·cal cov·er·age de·ter·mi·na·tion

(LCD) (lō'kăl kŭv'ĕr-ăj dē-tĕr'mi-nā'shŭn)
Advisories with detailed and updated information about coding and medical necessity of a specific service; used to ensure the accuracy of health care billing.
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References in periodicals archive ?
The Reimbursement part of the meeting discussed holding reimbursement forums in your state to develop relationships with your payers, as well as discussions on increasing the physical therapists' knowledge about reimbursement including how to read and find Local Coverage Determinations (LCDs) as well as reading insurance contracts and getting assistance in reading contracts prior to signing them.
Using the Local Coverage Determination (LCD), Text2Codes will suggest diagnosis supporting procedures (and vice-versa) in specific CMS jurisdictions and will prevent coding incorrect or medically "unnecessary" procedures.
Diagnostic tests company Genomic Health (NasdaqGS:GHDX) revealed on Monday that it has received the final local coverage determination (LCD) approving the Oncotype DX prostate cancer test for qualified Medicare patients throughout the US.
As a result of this decision, I would strongly urge each and every one of you to review the pulmonary rehabilitation coverage in your state (to identify if you have a local coverage determination for pulmonary rehabilitation go to (http://www.
The American Academy of Family Physicians (AAFP) said it has succeeded in its drive to remove restrictive language from a Medicare carrier's draft local coverage determination on wound care.
In August, 2011, the DME MACs considered changes to the Medicare coverage for the wearable cardioverter defibrillator (WCD) as part of a draft Local Coverage Determination (LCD) for Automatic External Defibrillators (AEDs).
To identify the local coverage for pulmonary rehabilitation you need to look up your specific carrier for Medicare and determine if you have a local coverage determination (LCD) for pulmonary rehab.
NASDAQ: VITA), an orthobiologics and biosurgery company, notes that on May 5, 2011, Noridian([R])Administrative Services, LLC (Noridian) published a Part B Future Local Coverage Determination (LCD) covering percutaneous vertebroplasty and percutaneous vertebral augmentation when medical record documentation supports that the procedure is conducted in accordance with the clinical and procedural criteria established in the literature produced in recent years.

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