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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 Each policy can also be found at
    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.