J12 MAC LCDs (Local Coverage Determinations)

Welcome to the J12 MAC Local Coverage Determination (LCD) archive!

Until we complete the transition and activate our policy search functionality for J12 LCDs, this page will contain links to prior versions of our MAC LCDs as they appeared during the transition phase.

MAC Policy Number	Effective Date	MAC Policies	Related MAC Article
	11/14/08	Approved Drugs and Biologicals	A47797
	09/25/08		A47797
L27473	09/01/08		A47797
L27473	08/01/08		A47797
L27473	07/11/08		A47797
L27474	09/01/08	Blepharoplasty/Blepharoptosis	N/A
L27474	08/01/08		N/A
L27474	07/11/08		N/A
L27475	09/01/08	Blood Glucose Monitoring in a Skilled Nursing Facility (SNF)	N/A
L27475	08/01/08		N/A
L27475	07/11/08		N/A
L27476	09/01/08	Botulinum Toxin Type A and B	A47789
L27476	08/01/08		A47789
L27476	07/11/08		A47789
L27477	11/14/08	Cancer Chemotherapeutic Agents	N/A
L27477	09/01/08		N/A
L27477	08/01/08		N/A
L27477	07/11/08		N/A
L27478	09/25/08	Cardiovascular Stress Testing	A47786
L27478	09/01/08		A47786
L27478	08/01/08		A47786
L27478	07/11/08		A47786
L27479	09/01/08	Cataract Surgery	N/A
L27479	08/01/08		N/A
L27479	07/11/08		N/A
L27480	09/01/08	Chiropractic Services	A47798
L27480	08/01/08		A47798
L27480	07/11/08		A47798
L27481	09/01/08	Co-Management of Surgical Procedures	A47790
L27481	08/01/08		A47790
L27481	07/11/08		A47790
L27482	09/01/08	Complex Cataract Extraction	N/A
L27482	08/01/08		N/A
L27482	07/11/08		N/A
L27483	09/01/08	Computed Tomographic Angiography of the Chest	N/A
L27483	08/01/08		N/A
L27483	07/11/08		N/A
L27484	09/01/08	Consultations	N/A
L27484	08/01/08		N/A
L27484	07/11/08		N/A
L27485	09/01/08	Coverage of Services and Procedures in Nursing Facilities	N/A
L27485	08/01/08		N/A
L27485	07/11/08		N/A
L27486	09/25/08	Routine Foot Care	N/A
L27486	09/01/08		N/A
L27486	08/01/08		N/A
L27486	07/11/08		N/A
L27487	09/01/08	Debridement of Mycotic Nails	N/A
L27487	08/01/08		N/A
L27487	07/11/08		N/A
L27488	09/01/08	Diagnostic Laryngoscopy	N/A
L27488	08/01/08		N/A
L27488	07/11/08		N/A
L27489	09/25/08	Monitored Anesthesia Care (MAC)	N/A
L27489	09/01/08		N/A
L27489	08/01/08		N/A
L27489	07/11/08		N/A
L27490	09/25/08	Electrocardiography	N/A
L27490	09/01/08		N/A
L27490	08/01/08		N/A
L27490	07/11/08		N/A
L27491	09/25/08	End - Diastolic Pneumatic Compression Therapy	N/A
L27491	09/01/08		N/A
L27491	08/01/08		N/A
L27491	07/11/08		N/A
L27492	09/01/08	Erythropoiesis Stimulating Agents (ESAs)	A47817
L27492	08/01/08		A47817
L27492	07/11/08		A47817
L27496	09/01/08	Evaluation and Management Services in a Nursing Facility	N/A
L27496	08/01/08		N/A
L27496	07/11/08		N/A
L27497	09/01/08	Fluorescein and Indocyanine Green Angiography	N/A
L27497	08/01/08		N/A
L27497	07/11/08		N/A
L27498	09/01/08	Fundus Photography	N/A
L27498	08/01/08		N/A
L27498	07/11/08		N/A
L27499	09/01/08	Intraoperative Neurophysiological Testing	N/A
L27499	08/01/08		N/A
L27499	07/11/08		N/A
L27500	09/01/08	Luteinizing Hormone-Releasing Hormone (LHRH) Analogs	N/A
L27500	08/01/08		N/A
L27500	07/11/08		N/A
L27501	09/01/08	Magnetic Pelvic Floor Stimulation (MPFS)	N/A
L27501	08/01/08		N/A
L27501	07/11/08		N/A
L27502	09/25/08	Magnetic Resonance Imaging (MRI) of the Breast	N/A
L27502	09/01/08		N/A
L27502	08/01/08		N/A
L27502	07/11/08		N/A
L27503	09/01/08	Moh's Micrographic Surgery	N/A
L27503	08/01/08		N/A
L27503	07/11/08		N/A
L27504	09/25/08	Non-Invasive Cerebrovascular Arterial Studies	A47800
L27504	09/01/08		A47800
L27504	08/01/08		A47800
L27504	07/11/08		A47800
L27506	09/01/08	Non-Invasive Peripheral Venous Studies	A47801
L27506	08/01/08		A47801
L27506	07/11/08		A47801
L27507	09/25/08	Ophthalmic A and B Scans	N/A
L27507	09/01/08		N/A
L27507	08/01/08		N/A
L27507	07/11/08		N/A
L27508	09/01/08	Ophthalmic Biometry for Intraocular Lens (IOL) Power Calculation	A47792
L27508	08/01/08		A47792
L27508	07/11/08		A47792
L27509	09/01/08	Extended Ophthalmoscopy	N/A
L27509	08/01/08		N/A
L27509	07/11/08		N/A
L27510	09/01/08	Parathormone (Parathyroid Hormone)	N/A
L27510	08/01/08		N/A
L27510	07/11/08		N/A
L27512	09/01/08	Paravertebral Facet Joint Nerve Block and Sacroiliac Joint Injection	N/A
L27512	08/01/08		N/A
L27512	07/11/08		N/A
L27513	09/25/08	Physical Medicine and Rehabilitation Services, PT and OT	N/A
L27513	09/01/08		N/A
L27513	08/01/08		N/A
L27513	07/11/08		N/A
L27514	09/01/08	Psychiatric Therapeutic Procedures	N/A
L27514	08/01/08		N/A
L27514	07/11/08		N/A
L27515	09/25/08	Radiation Therapy Services	N/A
L27515	09/01/08		N/A
L27515	08/01/08		N/A
L27515	07/11/08		N/A
L27518	09/25/08	Radiologic Examination of the Chest (CXR)	N/A
L27518	09/01/08		N/A
L27518	08/01/08		N/A
L27518	07/11/08		N/A
L27520	09/01/08	Real-Time, Outpatient Cardiac Monitoring	N/A
L27520	08/01/08		N/A
L27520	07/11/08		N/A
L27527	09/01/08	Removal of Benign or Premalignant Skin Lesions	N/A
L27527	08/01/08		N/A
L27527	07/11/08		N/A
L27528	09/01/08	Removal of Impacted Cerumen	N/A
L27528	08/01/08		N/A
L27528	07/11/08		N/A
L27529	09/01/08	Scanning Computerized Ophthalmic Diagnostic Imaging	N/A
L27529	08/01/08		N/A
L27529	07/11/08		N/A
L27530	09/01/08	Sleep Disorders Testing	N/A
L27530	08/01/08		N/A
L27530	07/11/08		N/A
L27531	09/01/08	Speech-Language Pathology (SLP) Services: Communication Disorders	N/A
L27531	08/01/08		N/A
L27531	07/11/08		N/A
L27532	09/01/08	Surgical Treatment of Nails	A47803
L27532	08/01/08		A47803
L27532	07/11/08		A47803
L27533	09/01/08	Surveillance of Implantable Cardioverter-Defibrillator (ICD), Office, Internet or Non-Internet Based	A47804
L27533	08/01/08		A47804
L27533	07/11/08		A47804
L27534	09/01/08	Thermotherapies (Minimally Invasive Surgical Techniques [MISTs] for Benign Prostatic Hyperplasia (BPH))	N/A
L27534	08/01/08		N/A
L27534	07/11/08		N/A
L27535	09/25/08	Transesophageal Echocardiography (TEE)	A47805
L27535	09/01/08		A47805
L27535	08/01/08		A47805
L27535	07/11/08		A47805
L27536	09/25/08	Transthoracic Echocardiography (TTE)	A47806
L27536	09/01/08		A47806
L27536	08/01/08		A47806
L27536	07/11/08		A47806
L27537	09/01/08	Speech-Language Pathology (SLP) Services: Dysphagia; Includes VitalStim^® Therapy	N/A
L27537	08/01/08		N/A
L27537	07/11/08		N/A
L27539	09/01/08	Treatment of Varicose Veins of the Lower Extremities	N/A
L27539	08/01/08		N/A
L27539	07/11/08		N/A
L27540	09/01/08	Trigger Point Injections	N/A
L27540	08/01/08		N/A
L27540	07/11/08		N/A
L27545	09/25/08	Visual Fields	N/A
L27545	09/01/08		N/A
L27545	08/01/08		N/A
L27545	07/11/08		N/A
L27547	09/25/08	Wound Care	A47793
L27547	09/01/08		A47793
L27547	08/01/08		A47793
L27547	07/11/08		A47793
L27548	09/01/08	Acute Care: Inpatient, Observation, and Treatment Room Services	A47796
L27548	08/01/08		A47796
L27548	07/11/08		A47796
L27549	09/01/08	Human Skin Equivalents (HSE) - Use in the Treatment of Chronic Cutaneous Ulcer Wounds	N/A
L27549	08/01/08		N/A
L27549	07/11/08		N/A

J12 MAC Transition(* = off-site link)

Welcome to the J12 MAC Local Coverage Determination (LCD) archive!

J12 MAC Transition
(* = off-site link)