Local Coverage Determination (LCD) formerly known as Local Medical Review Policies (LMRP) is defined as a decision by a fiscal intermediary (FI) or carrier whether to cover a particular service on an intermediary-wide or carrier-wide basis in accordance with Section 1862(a)(1)(A) of the Social Security Act (e.g., a determination as to whether the service or item is reasonable and necessary) - Section 522 of the Benefits Improvement and Protection Act (BIPA). Refer: http://www.cms.hhs.gov/mcd/overview.asp for more information.
CMS Local Coverage Determination for all States
http://www.cms.hhs.gov/mcd/search.asp
Similarly Commercial insurances has developed Local Coverage Determinations based on the Medical necessity and are generally known as Medical Coverage Guidelines.
Florida BCBS Medical Coverage Guidelines http://mcgs.bcbsfl.com/
Humana Medical Coverage Guidelines http://apps.humana.com/tad/tad_new/Home.aspx
Wellcare Coverage Guidelines http://www.wellcare.com/Provider/CCGs
Anthem BCBS Medical Coverage Guidelines http://www.anthem.com/wps/portal/ca/popcontent?content_path=provider/f0/s0/t0/pw_a112249.htm&label=Medical%20Policies%20and%20Clinical%20UM%20Guidelines
Anthem BCBS Anesthesia Coding and Billing Guidelines http://www.anthem.com/medicalpolicies/guidelines/gl_pw_a050123.htm
BCBS Illinosis Medical Coverage Guidelines http://medicalpolicy.hcsc.net/medicalpolicy/disclaimer.do?corpEntCd=IL1#hlink
Aetna Medical Coverage Guidelines https://xsearch.aetna.com/searchresults.aspx
UHC Medical Coverage Guidelines https://www.unitedhealthcareonline.com/b2c/CmaAction.do?channelId=cdc94e74bc62c010VgnVCM100000c520720a____
Cigna Medical Coverage Guidelines http://www.cignagovernmentservices.com
Physicians United Plan (PUP) Referral and Authorization Guide http://www.pupcorp.com/PDFDocuments/RAG.pdf
BCBS Texas Reimbursement for Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) and applicable Modifiers
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