LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone: 305.436.5030
Fax: 305.436.0086
E-mail Address: info {at] LEEDerGroup [dot] com

2011-03 Local Coverage Determinations: Find Them Quickly

KYDEX-PRO

STRONGER SAFER

LEEDerGROUP.com

Local Coverage Determinations: Find Them Quickly
  • Local Coverage Determinations (LCDs) contain specific information guidelines about how Palmetto GBA covers some procedures. KYDEX-PRO Ambulation Orthosis
    The basis for LCDs is Section 1862 (a)(1)(A) of the Social Security Act
    The Centers for Medicare & Medicaid Services (CMS) provides guidance to all Medicare contractors regarding LCDs in the Program Integrity Manual (Pub. 100-08), Chapter 13, Section 13.1.3
  • We strongly encourage you to locate and become familiar with LCDs before submitting services for which an LCD may apply. There are three methods for locating LCDs:
    The Palmetto GBA Web site has direct links to LCDs and related articles in the ‘Browse by Specialty’ and ‘Browse by Topic’ categories’
  • Knowing about coverage restrictions in advance will ensure that you can help your patients make informed decisions and enable you to submit accurate claims.

last updated on 03/16/2011