LCDs / Medical Policies
The following CGS home health and hospice Local Coverage Determinations (LCDs) are located on the Centers for Medicare & Medicaid Services (CMS) Medicare Coverage Database (MCD) webpage.
- MCD Reports
- Requests for New LCD
- LCD Reconsideration Process
- National Coverage Determinations (NCDs)
- CAC Compliance Open and Provider Touch Point Meetings
Note: CGS does not include LCDs on our website. By clicking on the LCD ID number below, you will be sent directly to the LCD on the CMS Medicare Coverage Database.
In addition to LCDs, CGS providers should review Medicare coverage guidelines using the following webpages:
ID | Title | Effective Date | Revision Effective Date | Last Updated | Status | HCPC/CPT Code | Related Policy Article(s) |
---|---|---|---|---|---|---|---|
L34538![]() |
Hospice Determining Terminal Status | 10/1/2015 | 6/30/22 | 6/22/22 | Active | N/A | N/A |
L33942![]() |
Physical Therapy - Home Health | 10/1/2015 | 7/29/21 | 6/22/22 | Active | Group 1: G0151 Group 2: 95851, 95852, 97010, 97012, 97016, 97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97110, 97112, 97113, 97116, 97124, 97140, 97161, 97162, 97163, 97164, 97530, 97535, 97542, 97750, 97755, 97760, 97761, 97763, G0281, G0283, G0329 Group 3: 98966, 98967, 98968, 98970, 98971, 98972, 98975, 98976, 98977, 98980, 98981, G2010, G2012, G2250, G2251 |
A57311 - Billing and Coding: Physical Therapy - Home Health![]() |
Updated: 08.18.22