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  • Local Coverage Determination Policies (LCDs)


    Question: We are having trouble getting paid for OCTs. How would I know if my Medicare administrative contractor (MAC) has a policy?

    Answer: Links to current MAC LCD policies and articles can be found at aao.org/lcds. Each policy can also be found at cms.gov.
    To search the alphabetical list of National Coverage Determinations, visit Centers for Medicaid & Medicare Services.
    If your state does not have a policy included, you should clearly document medical necessity. Consider reviewing other states' policies for guidance. Each policy includes an effective date, which is important as policies are continually updated.