JUL 18, 2022
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.