top of page
800-958-1129 (TTY: 711)
We are open M-F 8:00 a.m. – 8:00 p.m. PT. Between 10/1 and 3/31, we are open 7 days a week, except for the major year-end holidays.
_edited.png){kind=logo}
Local Medicare Coverage Determinations
X
You are about to leave Elite Health Plan website
and go to another site managed by a third party. Once you leave our website, the policies and practices of that site may differ from those of Elite Health Plan. When visiting a third-party website, you will be subject to the privacy and security policies of that specific website.
ID | Title | LinkText |
|---|---|---|
33738 | Facial Prostheses | LCD - Facial Prostheses (L33738) (cms.gov) |
33739 | Speech Generating Devices (SGD) | LCD - Speech Generating Devices (SGD) (L33739) (cms.gov) |
33751 | Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) | LCD - Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (L33751) (cms.gov) |
33755 | Susceptibility Studies | LCD - Susceptibility Studies (L33755) (cms.gov) |
33756 | Transesophageal Echocardiogram | LCD - Transesophageal Echocardiogram (L33756) (cms.gov) |
33766 | Visual Field Examination | LCD - Visual Field Examination (L33766) (cms.gov) |
33768 | Transthoracic Echocardiography (TTE) | LCD - Transthoracic Echocardiography (TTE) (L33768) (cms.gov) |
33771 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | LCD - Vitamin D; 25 hydroxy, includes fraction(s), if performed (L33771) (cms.gov) |
33774 | Wireless Capsule Endoscopy | LCD - Wireless Capsule Endoscopy (L33774) (cms.gov) |
33784 | Heating Pads and Heat Lamps | LCD - Heating Pads and Heat Lamps (L33784) (cms.gov) |
33785 | High Frequency Chest Wall Oscillation Devices | LCD - High Frequency Chest Wall Oscillation Devices (L33785) (cms.gov) |
33786 | Intrapulmonary Percussive Ventilation System | LCD - Intrapulmonary Percussive Ventilation System (L33786) (cms.gov) |
33787 | Lower Limb Prostheses | LCD - Lower Limb Prostheses (L33787) (cms.gov) |
33788 | Manual Wheelchair Bases | LCD - Manual Wheelchair Bases (L33788) (cms.gov) |
33789 | Power Mobility Devices | LCD - Power Mobility Devices (L33789) (cms.gov) |
33790 | Spinal Orthoses: TLSO and LSO | LCD - Spinal Orthoses: TLSO and LSO (L33790) (cms.gov) |
33791 | Walkers | LCD - Walkers (L33791) (cms.gov) |
33792 | Wheelchair Options/Accessories | LCD - Wheelchair Options/Accessories (L33792) (cms.gov) |
33793 | Refractive Lenses | LCD - Refractive Lenses (L33793) (cms.gov) |
33794 | External Infusion Pumps | LCD - External Infusion Pumps (L33794) (cms.gov) |
33795 | Mechanical In-exsufflation Devices | LCD - Mechanical In-exsufflation Devices (L33795) (cms.gov) |
33796 | Osteogenesis Stimulators | LCD - Osteogenesis Stimulators (L33796) (cms.gov) |
33797 | Oxygen and Oxygen Equipment | LCD - Oxygen and Oxygen Equipment (L33797) (cms.gov) |
33799 | Patient Lifts | LCD - Patient Lifts (L33799) (cms.gov) |
33800 | Respiratory Assist Devices | LCD - Respiratory Assist Devices (L33800) (cms.gov) |
33801 | Seat Lift Mechanisms | LCD - Seat Lift Mechanisms (L33801) (cms.gov) |
33802 | Transcutaneous Electrical Nerve Stimulators (TENS) | LCD - Transcutaneous Electrical Nerve Stimulators (TENS) (L33802) (cms.gov) |
33803 | Urological Supplies | LCD - Urological Supplies (L33803) (cms.gov) |
33810 | Computerized Corneal Topography | LCD - Computerized Corneal Topography (L33810) (cms.gov) |
33813 | Destruction of Malignant Skin Lesions | LCD - Destruction of Malignant Skin Lesions (L33813) (cms.gov) |
33818 | Excision of Malignant Skin Lesions | LCD - Excision of Malignant Skin Lesions (L33818) (cms.gov) |
33820 | Hospital Beds And Accessories | LCD - Hospital Beds And Accessories (L33820) (cms.gov) |
33821 | Negative Pressure Wound Therapy Pumps | LCD - Negative Pressure Wound Therapy Pumps (L33821) (cms.gov) |
33822 | Glucose Monitors | LCD - Glucose Monitors (L33822) (cms.gov) |
33823 | Cervical Traction Devices | LCD - Cervical Traction Devices (L33823) (cms.gov) |
33824 | Immunosuppressive Drugs | LCD - Immunosuppressive Drugs (L33824) (cms.gov) |
33825 | Infrared Heating Pad Systems | LCD - Infrared Heating Pad Systems (L33825) (cms.gov) |
33826 | Oral Anticancer Drugs | LCD - Oral Anticancer Drugs (L33826) (cms.gov) |
33827 | Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) | LCD - Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) (L33827) (cms.gov) |
33828 | Ostomy Supplies | LCD - Ostomy Supplies (L33828) (cms.gov) |
33829 | Pneumatic Compression Devices | LCD - Pneumatic Compression Devices (L33829) (cms.gov) |
33830 | Pressure Reducing Support Surfaces - Group 1 | LCD - Pressure Reducing Support Surfaces - Group 1 (L33830) (cms.gov) |
33831 | Surgical Dressings | LCD - Surgical Dressings (L33831) (cms.gov) |
33832 | Tracheostomy Care Supplies | LCD - Tracheostomy Care Supplies (L33832) (cms.gov) |
33833 | Surgical Treatment of Nails | LCD - Surgical Treatment of Nails (L33833) (cms.gov) |
33906 | Epidural Steroid Injections for Pain Management | LCD - Epidural Steroid Injections for Pain Management (L33906) (cms.gov) |
33907 | Hepatic (Liver) Function Panel | LCD - Hepatic (Liver) Function Panel (L33907) (cms.gov) |
33908 | High Sensitivity C-Reactive Protein (hsCRP) | LCD - High Sensitivity C-Reactive Protein (hsCRP) (L33908) (cms.gov) |
33910 | Independent Diagnostic Testing Facility (IDTF) | LCD - Independent Diagnostic Testing Facility (IDTF) (L33910) (cms.gov) |
33912 | Injection of Trigger Points | LCD - Injection of Trigger Points (L33912) (cms.gov) |
33922 | Nail Debridement | LCD - Nail Debridement (L33922) (cms.gov) |
33923 | Noninvasive Ear or Pulse Oximetry For Oxygen Saturation | LCD - Noninvasive Ear or Pulse Oximetry For Oxygen Saturation (L33923) (cms.gov) |
33930 | Facet Joint Interventions for Pain Management | LCD - Facet Joint Interventions for Pain Management (L33930) (cms.gov) |
33933 | Peripheral Nerve Blocks | LCD - Peripheral Nerve Blocks (L33933) (cms.gov) |
33937 | Proton Beam Radiotherapy | LCD - Proton Beam Radiotherapy (L33937) (cms.gov) |
33941 | Routine Foot Care | LCD - Routine Foot Care (L33941) (cms.gov) |
33942 | Physical Therapy - Home Health | LCD - Physical Therapy - Home Health (L33942) (cms.gov) |
33943 | B-type Natriuretic Peptide (BNP) Testing | LCD - B-type Natriuretic Peptide (BNP) Testing (L33943) (cms.gov) |
33944 | Blepharoplasty | LCD - Blepharoplasty (L33944) (cms.gov) |
33945 | Cerumen (Earwax) Removal | LCD - Cerumen (Earwax) Removal (L33945) (cms.gov) |
33946 | Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy | LCD - Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy (L33946) (cms.gov) |
33947 | Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) | LCD - Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) (L33947) (cms.gov) |
33949 | Botulinum Toxins | LCD - Botulinum Toxins (L33949) (cms.gov) |
33950 | Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography | LCD - Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography (L33950) (cms.gov) |
33952 | Cardiac Event Detection | LCD - Cardiac Event Detection (L33952) (cms.gov) |
33954 | Cataract Extraction | LCD - Cataract Extraction (L33954) (cms.gov) |
33958 | Somatosensory Testing | LCD - Somatosensory Testing (L33958) (cms.gov) |
33959 | Cardiac Catheterization and Coronary Angiography | LCD - Cardiac Catheterization and Coronary Angiography (L33959) (cms.gov) |
33960 | Cardiovascular Nuclear Medicine | LCD - Cardiovascular Nuclear Medicine (L33960) (cms.gov) |
33966 | Vestibular Function Tests | LCD - Vestibular Function Tests (L33966) (cms.gov) |
33967 | Vitamin B<sub>12</sub> Injections | LCD - Vitamin B12 Injections (L33967) (cms.gov) |
33969 | Diagnostic Aerosol or Vapor Inhalation | LCD - Diagnostic Aerosol or Vapor Inhalation (L33969) (cms.gov) |
33974 | Troponin | LCD - Troponin (L33974) (cms.gov) |
33975 | Psychiatric Inpatient Hospitalization | LCD - Psychiatric Inpatient Hospitalization (L33975) (cms.gov) |
33977 | Transcranial Doppler Studies | LCD - Transcranial Doppler Studies (L33977) (cms.gov) |
33979 | Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) | LCD - Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) (L33979) (cms.gov) |
33996 | Vitamin D Assay Testing | LCD - Vitamin D Assay Testing (L33996) (cms.gov) |
33999 | Corneal Pachymetry | LCD - Corneal Pachymetry (L33999) (cms.gov) |
34005 | Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy | LCD - Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy (L34005) (cms.gov) |
34007 | Immune Globulin | LCD - Immune Globulin (L34007) (cms.gov) |
34008 | Computerized Corneal Topography | LCD - Computerized Corneal Topography (L34008) (cms.gov) |
34010 | Treatment of Varicose Veins of the Lower Extremities | LCD - Treatment of Varicose Veins of the Lower Extremities (L34010) (cms.gov) |
34011 | Ionized Calcium | LCD - Ionized Calcium (L34011) (cms.gov) |
34018 | Parathormone (Parathyroid Hormone) | LCD - Parathormone (Parathyroid Hormone) (L34018) (cms.gov) |
34021 | Sedimentation Rate, Erythrocyte | LCD - Sedimentation Rate, Erythrocyte (L34021) (cms.gov) |
34026 | Trastuzumab – Trastuzumab Biologics | LCD - Trastuzumab – Trastuzumab Biologics (L34026) (cms.gov) |
34027 | Ultrasound, Soft Tissues of Head and Neck | LCD - Ultrasound, Soft Tissues of Head and Neck (L34027) (cms.gov) |
34028 | Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow | LCD - Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow (L34028) (cms.gov) |
34032 | Debridement Services | LCD - Debridement Services (L34032) (cms.gov) |
34037 | Flow Cytometry | LCD - Flow Cytometry (L34037) (cms.gov) |
34038 | B-type Natriuretic Peptide (BNP) Testing | LCD - B-type Natriuretic Peptide (BNP) Testing (L34038) (cms.gov) |
34040 | Polysomnography and Other Sleep Studies | LCD - Polysomnography and Other Sleep Studies (L34040) (cms.gov) |
34045 | Non-Invasive Vascular Studies | LCD - Non-Invasive Vascular Studies (L34045) (cms.gov) |
34046 | Speech-Language Pathology | LCD - Speech-Language Pathology (L34046) (cms.gov) |
34049 | Outpatient Physical and Occupational Therapy Services | LCD - Outpatient Physical and Occupational Therapy Services (L34049) (cms.gov) |
34051 | Vitamin D Assay Testing | LCD - Vitamin D Assay Testing (L34051) (cms.gov) |
34055 | Virtual Colonoscopy (CT Colonography) | LCD - Virtual Colonoscopy (CT Colonography) (L34055) (cms.gov) |
34056 | Urodynamics | LCD - Urodynamics (L34056) (cms.gov) |
34061 | Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) | LCD - Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (L34061) (cms.gov) |
34062 | Dialysis Access Maintenance | LCD - Dialysis Access Maintenance (L34062) (cms.gov) |
bottom of page