top of page
ID
Title
LinkText
35396
Biomarkers for Oncology
LCD - Biomarkers for Oncology (L35396) (cms.gov)
35397
Non-Invasive Cerebrovascular Arterial Studies
LCD - Non-Invasive Cerebrovascular Arterial Studies (L35397) (cms.gov)
35428
Thrombolytic Agents
LCD - Thrombolytic Agents (L35428) (cms.gov)
35434
Oximetry Services
LCD - Oximetry Services (L35434) (cms.gov)
35442
MolDX: NRAS Genetic Testing
LCD - MolDX: NRAS Genetic Testing (L35442) (cms.gov)
35448
Independent Diagnostic Testing Facility (IDTF)
LCD - Independent Diagnostic Testing Facility (IDTF) (L35448) (cms.gov)
35451
Non-Invasive Peripheral Venous Studies
LCD - Non-Invasive Peripheral Venous Studies (L35451) (cms.gov)
35456
Nerve Blockade for Treatment of Chronic Pain and Neuropathy
LCD - Nerve Blockade for Treatment of Chronic Pain and Neuropathy (L35456) (cms.gov)
35457
Nerve Blockade for Treatment of Chronic Pain and Neuropathy
LCD - Nerve Blockade for Treatment of Chronic Pain and Neuropathy (L35457) (cms.gov)
35486
Pelvic Floor Dysfunction: Anorectal Manometry and EMG
LCD - Pelvic Floor Dysfunction: Anorectal Manometry and EMG (L35486) (cms.gov)
35490
Category III Codes
LCD - Category III Codes (L35490) (cms.gov)
35494
Mohs Micrographic Surgery
LCD - Mohs Micrographic Surgery (L35494) (cms.gov)
35498
Removal of Benign Skin Lesions
LCD - Removal of Benign Skin Lesions (L35498) (cms.gov)
35526
B-type Natriuretic Peptide (BNP) Testing
LCD - B-type Natriuretic Peptide (BNP) Testing (L35526) (cms.gov)
35677
Infliximab
LCD - Infliximab (L35677) (cms.gov)
35702
Mohs Micrographic Surgery
LCD - Mohs Micrographic Surgery (L35702) (cms.gov)
35704
Mohs Micrographic Surgery
LCD - Mohs Micrographic Surgery (L35704) (cms.gov)
35724
Urine Drug Testing
LCD - Urine Drug Testing (L35724) (cms.gov)
35751
Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
LCD - Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies (L35751) (cms.gov)
35753
Non-Invasive Cerebrovascular Studies
LCD - Non-Invasive Cerebrovascular Studies (L35753) (cms.gov)
35755
Non-Invasive Abdominal / Visceral Vascular Studies
LCD - Non-Invasive Abdominal / Visceral Vascular Studies (L35755) (cms.gov)
35761
Non-Invasive Peripheral Arterial Vascular Studies
LCD - Non-Invasive Peripheral Arterial Vascular Studies (L35761) (cms.gov)
35891
Intravenous Immune Globulin
LCD - Intravenous Immune Globulin (L35891) (cms.gov)
35897
Nerve Conduction Studies and Electromyography
LCD - Nerve Conduction Studies and Electromyography (L35897) (cms.gov)
35906
Somatosensory Testing
LCD - Somatosensory Testing (L35906) (cms.gov)
35922
Lab: Special Histochemical Stains and Immunohistochemical Stains
LCD - Lab: Special Histochemical Stains and Immunohistochemical Stains (L35922) (cms.gov)
35936
Facet Joint Interventions for Pain Management
LCD - Facet Joint Interventions for Pain Management (L35936) (cms.gov)
35974
MolDX: MGMT Promoter Methylation Analysis
LCD - MolDX: MGMT Promoter Methylation Analysis (L35974) (cms.gov)
35984
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
LCD - MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L35984) (cms.gov)
35986
Special Histochemical Stains and Immunohistochemical Stains
LCD - Special Histochemical Stains and Immunohistochemical Stains (L35986) (cms.gov)
35998
Non-Coronary Vascular Stents
LCD - Non-Coronary Vascular Stents (L35998) (cms.gov)
36000
Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain
LCD - Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain (L36000) (cms.gov)
36006
MolDX: ConfirmMDx Epigenetic Molecular Assay
LCD - MolDX: ConfirmMDx Epigenetic Molecular Assay (L36006) (cms.gov)
36007
Lower Extremity Major Joint Replacement (Hip and Knee)
LCD - Lower Extremity Major Joint Replacement (Hip and Knee) (L36007) (cms.gov)
36021
MolDX: Molecular Diagnostic Tests (MDT)
LCD - MolDX: Molecular Diagnostic Tests (MDT) (L36021) (cms.gov)
36029
Urine Drug Testing
LCD - Urine Drug Testing (L36029) (cms.gov)
36037
Urine Drug Testing
LCD - Urine Drug Testing (L36037) (cms.gov)
36039
Total Joint Arthroplasty
LCD - Total Joint Arthroplasty (L36039) (cms.gov)
36044
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
LCD - MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36044) (cms.gov)
36089
MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
LCD - MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36089) (cms.gov)
36094
Lab: Flow Cytometry
LCD - Lab: Flow Cytometry (L36094) (cms.gov)
36113
MolDX: MGMT Promoter Methylation Analysis
LCD - MolDX: MGMT Promoter Methylation Analysis (L36113) (cms.gov)
36117
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
LCD - MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36117) (cms.gov)
36125
MolDX: Breast Cancer Assay: Prosigna®
LCD - MolDX: Breast Cancer Assay: Prosigna® (L36125) (cms.gov)
36129
MolDX: Biomarkers in Cardiovascular Risk Assessment
LCD - MolDX: Biomarkers in Cardiovascular Risk Assessment (L36129) (cms.gov)
36139
MolDX: Biomarkers in Cardiovascular Risk Assessment
LCD - MolDX: Biomarkers in Cardiovascular Risk Assessment (L36139) (cms.gov)
36155
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
LCD - MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36155) (cms.gov)
36159
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
LCD - MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36159) (cms.gov)
36180
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
LCD - MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36180) (cms.gov)
36186
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
LCD - MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36186) (cms.gov)
36188
MolDX: MGMT Promoter Methylation Analysis
LCD - MolDX: MGMT Promoter Methylation Analysis (L36188) (cms.gov)
36192
MolDX: MGMT Promoter Methylation Analysis
LCD - MolDX: MGMT Promoter Methylation Analysis (L36192) (cms.gov)
36204
Spinal Cord Stimulators for Chronic Pain
LCD - Spinal Cord Stimulators for Chronic Pain (L36204) (cms.gov)
36234
Special Histochemical Stains and Immunohistochemical Stains
LCD - Special Histochemical Stains & Immunohistochemical Stains (L36234) (cms.gov)
36236
Autonomic Function Testing
LCD - Autonomic Function Testing (L36236) (cms.gov)
36240
Allergen Immunotherapy
LCD - Allergen Immunotherapy (L36240) (cms.gov)
36241
Allergy Testing
LCD - Allergy Testing (L36241) (cms.gov)
36256
MolDX: Molecular Diagnostic Tests (MDT)
LCD - MolDX: Molecular Diagnostic Tests (MDT) (L36256) (cms.gov)
36267
Bowel Management Devices
LCD - Bowel Management Devices (L36267) (cms.gov)
36286
Blepharoplasty, Eyelid Surgery, and Brow Lift
LCD - Blepharoplasty, Eyelid Surgery, and Brow Lift (L36286) (cms.gov)
36335
MolDX: NRAS Genetic Testing
LCD - MolDX: NRAS Genetic Testing (L36335) (cms.gov)
36339
MolDX: NRAS Genetic Testing
LCD - MolDX: NRAS Genetic Testing (L36339) (cms.gov)
36351
Lab: Special Histochemical Stains and Immunohistochemical Stains
LCD - Lab: Special Histochemical Stains and Immunohistochemical Stains (L36351) (cms.gov)
36353
Lab: Special Histochemical Stains and Immunohistochemical Stains
LCD - Lab: Special Histochemical Stains and Immunohistochemical Stains (L36353) (cms.gov)
36358
MolDX: Biomarkers in Cardiovascular Risk Assessment
LCD - MolDX: Biomarkers in Cardiovascular Risk Assessment (L36358) (cms.gov)
36362
MolDX: Biomarkers in Cardiovascular Risk Assessment
LCD - MolDX: Biomarkers in Cardiovascular Risk Assessment (L36362) (cms.gov)
36377
Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities
LCD - Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities (L36377) (cms.gov)
36380
MolDX: Breast Cancer Assay: Prosigna®
LCD - MolDX: Breast Cancer Assay: Prosigna® (L36380) (cms.gov)
36386
MolDX: Breast Cancer Assay: Prosigna®
LCD - MolDX: Breast Cancer Assay: Prosigna® (L36386) (cms.gov)
36393
Controlled Substance Monitoring and Drugs of Abuse Testing
LCD - Controlled Substance Monitoring and Drugs of Abuse Testing (L36393) (cms.gov)
36400
MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
LCD - MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36400) (cms.gov)
36402
Allergy Testing
LCD - Allergy Testing (L36402) (cms.gov)
36406
Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
LCD - Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint (L36406) (cms.gov)
36408
Allergy Immunotherapy
LCD - Allergy Immunotherapy (L36408) (cms.gov)
36425
MolDX: Breast Cancer Assay: Prosigna®
LCD - MolDX: Breast Cancer Assay: Prosigna® (L36425) (cms.gov)
36427
Wireless Capsule Endoscopy
LCD - Wireless Capsule Endoscopy (L36427) (cms.gov)
36460
Bone Mass Measurement
LCD - Bone Mass Measurement (L36460) (cms.gov)
36464
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
LCD - MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (L36464) (cms.gov)
36469
Transcranial Magnetic Stimulation (TMS)
LCD - Transcranial Magnetic Stimulation (TMS) (L36469) (cms.gov)
36485
<b> MolDX: HLA-DQB1*06:02 Testing for Narcolepsy</b>
LCD - MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (L36485) (cms.gov)
36494
Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
LCD - Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint (L36494) (cms.gov)
36499
BRCA1 and BRCA2 Genetic Testing
LCD - BRCA1 and BRCA2 Genetic Testing (L36499) (cms.gov)
36523
MolDX: Biomarkers in Cardiovascular Risk Assessment
LCD - MolDX: Biomarkers in Cardiovascular Risk Assessment (L36523) (cms.gov)
36524
Nerve Conduction Studies and Electromyography
LCD - Nerve Conduction Studies and Electromyography (L36524) (cms.gov)
36526
Nerve Conduction Studies and Electromyography
LCD - Nerve Conduction Studies and Electromyography (L36526) (cms.gov)
36538
Treatment of Males with Low Testosterone
LCD - Treatment of Males with Low Testosterone (L36538) (cms.gov)
36544
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
LCD - MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (L36544) (cms.gov)
36551
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
LCD - MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (L36551) (cms.gov)
36569
Treatment of Males with Low Testosterone
LCD - Treatment of Males with Low Testosterone (L36569) (cms.gov)
36573
Total Hip Arthroplasty
LCD - Total Hip Arthroplasty (L36573) (cms.gov)
36575
Total Knee Arthroplasty
LCD - Total Knee Arthroplasty (L36575) (cms.gov)
36577
Total Knee Arthroplasty
LCD - Total Knee Arthroplasty (L36577) (cms.gov)
36593
Polysomnography
LCD - Polysomnography (L36593) (cms.gov)
36658
Proton Beam Therapy
LCD - Proton Beam Therapy (L36658) (cms.gov)
36665
ProMark® Risk Score
LCD - ProMark® Risk Score (L36665) (cms.gov)
36668
Urine Drug Testing
LCD - Urine Drug Testing (L36668) (cms.gov)
36675
ProMark® Risk Score
LCD - ProMark® Risk Score (L36675) (cms.gov)
36678
Lab: Bladder/Urothelial Tumor Markers
LCD - Lab: Bladder/Urothelial Tumor Markers (L36678) (cms.gov)
36680
Lab: Bladder/Urothelial Tumor Markers
LCD - Lab: Bladder/Urothelial Tumor Markers (L36680) (cms.gov)
36690
Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities
LCD - Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities (L36690) (cms.gov)

Contact PERS 

(800) 763-9155 

[Monday through Friday, from 5 a.m. to 6 p.m.]

 

Visit the PERS website

icon_1.png

Dental

icon_1.png

Vision

icon_h1.png

Vision

Frame/Lens or Contact Allowable

icon_1.png

Hearing Aids

icon_h1.png

Hearing Aids

icon_1.png

Meals

icon_1.png

Worldwide Coverage Allowance

icon_h1.png

Worldwide Coverage Allowance

icon_1.png

Online Fitness Portal

icon_h1.png

Online Fitness Portal

icon_1.png

Transportation

icon_1.png

Routine Podiatry

icon_h1.png

Routine Podiatry

icon_1.png

Routine Acupuncture,
Chiropractic, Massage

icon_h1.png

Routine Acupuncture,
Chiropractic, Massage

icon_1.png

Over the Counter benefit

icon_h1.png

Over the Counter benefit

Specific dollar amount available each quarter

icon_1.png

icon_h1.png

Woman smiling during dental procedure, professional healthcare in progress.
bottom of page