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National Coverage Determinations (NCDs) by Chapter/Section Index

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NCD SectionNCD Title
10.1Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery
10.2Transcutaneous Electrical Nerve Stimulation (TENS) for Acute Post-Operative Pain
10.3Inpatient Hospital Pain Rehabilitation Programs
10.4Outpatient Hospital Pain Rehabilitation Programs
10.5Autogenous Epidural Blood Graft
10.6Anesthesia in Cardiac Pacemaker Surgery
NCD SectionNCD Title
20.1Vertebral Artery Surgery
20.2Extracranial-Intracranial (EC-IC) Arterial Bypass Surgery
20.3Thoracic Duct Drainage (TDD) in Renal Transplants
20.4Implantable Automatic Defibrillators
20.5Extracorporeal Immunoadsorption (ECI) Using Protein A Columns
20.6Transmyocardial Revascularization (TMR)
20.7Percutaneous Transluminal Angioplasty (PTA)
20.8Cardiac Pacemakers
20.8.1Cardiac Pacemaker Evaluation Services
20.8.1.1Transtelephonic Monitoring of Cardiac Pacemakers
20.8.2Self-Contained Pacemaker Monitors
20.9Artificial Hearts and Related Devices
20.10Cardiac Rehabilitation Programs
20.11Intraoperative Ventricular Mapping
20.12Diagnostic Endocardial Electrical Stimulation (Pacing)
20.13HIS Bundle Study
20.14Plethysmography
20.15Electrocardiographic Services
20.16Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB)
20.17Noninvasive Tests of Carotid Function
20.18Carotid Body Resection/Carotid Body Denervation
20.19Ambulatory Blood Pressure Monitoring
20.20External Counterpulsation (ECP) Therapy for Severe Angina
20.21Chelation Therapy for Treatment of Atherosclerosis
20.22Ethylenediamine-Tetra-Acetic (EDTA) Chelation Therapy for Treatment of Atherosclerosis
20.23Fabric Wrapping of Abdominal Aneurysms
20.24Displacement Cardiography
20.25Cardiac Catheterization Performed in Other than a Hospital Setting
20.26Partial Ventriculectomy
20.27Cardiointegram (CIG) as an Alternative to Stress Test or Thallium Stress Test
20.28Therapeutic Embolization
20.29Hyperbaric Oxygen Therapy
20.30Microvolt T-Wave Alternans (MTWA)
20.31Intensive Cardiac Rehabilitation (ICR) Programs
20.31.1The Pritikin Program
20.31.2Ornish Program for Reversing Heart Disease
20.32Transcatheter Aortic Valve Replacement (TAVR)
NCD SectionNCD Title
30.1Biofeedback Therapy
30.1.1Biofeedback Therapy for the Treatment of Urinary Incontinence
30.2Thermogenic Therapy
30.3Acupuncture
30.3.1Acupuncture for Fibromyalgia
30.3.2Acupuncture for Osteoarthritis
30.4Electrosleep Therapy
30.5Transcendental Meditation
30.6Intravenous Histamine Therapy
30.7Laetrile and Related Substances
30.8Cellular Therapy
30.9Transillumination Light Scanning or Diaphanography
NCD SectionNCD Title
40.1Diabetes Outpatient Self-Management Training
40.2Home Blood Glucose Monitors
40.3Closed-Loop Blood Glucose Control Device (CBGCD)
40.4Insulin Syringe
40.5Treatment of Obesity
40.7Outpatient Intravenous Insulin Treatment
NCD SectionNCD Title
50.1Speech Generating Devices
50.2Electronic Speech Aids
50.3Cochlear Implantation
50.4Tracheostomy Speaking Valve
50.5Oxygen Treatment of Inner Ear/Carbon Therapy
50.6Tinnitus Masking
50.7Cochleostomy with Neurovascular Transplant for Meniere's Disease
50.8Ultrasonic Surgery
 

60: Emergency Medicine
No records returned for this chapter.
NCD SectionNCD Title
70.1Consultations with a Beneficiary's Family and Associates
70.2Consultation Services Rendered by a Podiatrist in a Skilled Nursing Facility
70.2.1Services Provided for the Diagnosis and Treatment of Diabetic Sensory Neuropathy with Loss of Protective Sensation (aka Diabetic Peripheral Neuropathy)
70.3Physician's Office Within an Institution--Coverage of Services and Supplies Incident to a Physician's Services
70.4Pronouncement of Death
70.5Hospital and Skilled Nursing Facility Admission Diagnostic Procedures
[14 Records]
NCD SectionNCD Title
80.1Hydrophilic Contact Lens For Corneal Bandage
80.2Photodynamic Therapy (OPT)
80.2.1Ocular Photodynamic Therapy (OPT)
80.3Photosensitive Drugs
80.3.1Verteporfin
80.4Hydrophilic Contact Lenses
80.5Scleral Shell
80.6Intraocular Photography
80.7Refractive Keratoplasty
80.8Endothelial Cell Photography
80.9Computer Enhanced Perimetry
80.10Phaco-Emulsification Procedure - Cataract Extraction
80.11Vitrectomy
80.12Intraocular Lenses (IOLs)
[1 Record]
NCD SectionNCD Title
90.1Pharmacogenomic Testing for Warfarin Response
NCD SectionNCD Title
100.1Bariatric Surgery for Treatment of Morbid Obesity
100.2Endoscopy
100.324-Hour Ambulatory Esophageal pH Monitoring
100.4Esophageal Manometry
100.5Diagnostic Breath Analyses
100.6Gastric Freezing
100.7Colonic Irrigation
100.8Intestinal Bypass Surgery
100.9Implantation of Anti-Gastroesophageal Reflux Device
100.10Injection Sclerotherapy for Esophageal Variceal Bleeding
100.11Gastric Balloon for Treatment of Obesity
100.12Gastrophotography
100.13Laparoscopic Cholecystectomy
100.14Surgery for Diabetes
NCD SectionNCD Title
110.1Hyperthermia for Treatment of Cancer
110.2Certain Drugs Distributed by the National Cancer Institute
110.3Anti-Inhibitor Coagulant Complex (AICC)
110.4Extracorporeal Photopheresis
110.5Granulocyte Transfusions
110.6Scalp Hypothermia During Chemotherapy to Prevent Hair Loss
110.7Blood Transfusions
110.8Blood Platelet Transfusions
110.8.1Stem Cell Transplantation
110.9Antigens Prepared for Sublingual Administration
110.10Intravenous Iron Therapy
110.11Food Allergy Testing and Treatment
110.12Challenge Ingestion Food Testing
110.13Cytotoxic Food Tests
110.14Apheresis (Therapeutic Pheresis)
110.15Ultrafiltration, Hemoperfusion and Hemofiltration
110.16Nonselective (Random) Transfusions and Living Related Donor Specific Transfusions (DST) in Kidney Transplantation
110.17Anti-Cancer Chemotherapy for Colorectal Cancer
110.18Aprepitant for Chemotherapy-Induced Emesis
110.19Abarelix for the Treatment of Prostate Cancer
110.20Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumors (Effective March 20, 2007)
110.21Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions
110.22Autologous Cellular Immunotherapy Treatment
 

120: Infectious Diseases
No records returned for this chapter.
[8 Records]
NCD SectionNCD Title
130.1Inpatient Hospital Stays for Treatment of Alcoholism
130.2Outpatient Hospital Services for Treatment of Alcoholism
130.3Chemical AversionTherapy for Treatment of Alcoholism
130.4Electrical Aversion Therapy for Treatment of Alcoholism
130.5Treatment of Alcoholism and Drug Abuse in a Freestanding Clinic
130.6Treatment of Drug Abuse (Chemical Dependency)
130.7Withdrawal Treatments for Narcotic Addictions
130.8Hemodialysis for Treatment of Schizophrenia
NCD SectionNCD Title
140.1Abortion
140.2Breast Reconstruction Following Mastectomy
140.3Transsexual Surgery
140.4Plastic Surgery to Correct "Moon Face"
140.5Laser Procedures
140.6Wrong Surgical or Other Invasive Procedure Performed on a Patient
140.7Surgical or Other Invasive Procedure Performed on the Wrong Body Part
140.8Surgical or Other Invasive Procedure Performed on the Wrong Patient
NCD SectionNCD Title
150.1Manipulation
150.2Osteogenic Stimulators
150.3Bone (Mineral) Density Studies
150.5Diathermy Treatment
150.6Vitamin B12 Injections to Strengthen Tendons, Ligaments, etc., of the Foot
150.7Prolotherapy, Joint Sclerotherapy, and Ligamentous Injections with Sclerosing Agents
150.8Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders
150.9Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee
150.10Lumbar Artificial Disc Replacement (LADR)
150.11Thermal Intradiscal Procedures (TIPs)
150.12Collagen Meniscus Implant
[26 Records]
NCD SectionNCD Title
160.1Induced Lesions of Nerve Tracts
160.2Treatment of Motor Function Disorders with Electric Nerve Stimulation
160.4Stereotactic Cingulotomy as a Means of Psychosurgery
160.5Stereotaxic Depth Electrode Implantation
160.6Carotid Sinus Nerve Stimulator
160.7Electrical Nerve Stimulators
160.7.1Assessing Patient's Suitability for Electrical Nerve Stimulation Therapy
160.8Electroencephalographic Monitoring During Surgical Procedures Involving the Cerebral Vasculature
160.9Electronecephalographic (EEG) Monitoring During Open-Heart Surgery
160.10Evoked Response Tests
160.12Neuromuscular Electrical Stimulaton (NMES)
160.13Supplies Used in the Delivery of Transcutaneous Electrical Nerve Stimulation (TENS) and Neuromuscular Electrical Stimulation (NMES)
160.14Invasive Intracranial Pressure Monitoring
160.15Electrotherapy for Treatment of Facial Nerve Paralysis (Bell's Palsy)
160.16Vertebral Axial Decompression (VAX-D)
160.17L-Dopa
160.18Vagus Nerve Stimulation (VNS)
160.19Phrenic Nerve Stimulator
160.20Transfer Factor for Treatment of Multiple Sclerosis
160.21Telephone Transmission of EEGs
160.22Ambulatory EEG Monitoring
160.23Sensory Nerve Conduction Threshold Tests (sNCTs)
160.24Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease
160.25Multiple Electroconvulsive Therapy (MECT)
160.26Cavernous Nerves by Electrical Stimulation with Penile Plethsmography
160.27Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)
NCD SectionNCD Title
170.1Institutional and Home Care Patient Education Programs
170.2Melodic Intonation Therapy
170.3Speech-Language Pathology Services for the Treatment of Dysphagia
[2 Records]
NCD SectionNCD Title
180.1Medical Nutrition Therapy
180.2Enteral and Parenteral Nutritional Therapy
NCD SectionNCD Title
190.1Histocompatibility Testing
190.2Diagnostic Pap Smears
190.3Cytogenetic Studies
190.4Electron Microscope
190.5Sweat Test
190.6Hair Analysis
190.7Human Tumor Stem Cell Drug Sensitivity Assays
190.8Lymphocyte Mitogen Response Assays
190.9Serologic Testing for Acquired Immunodeficiency Syndrome (AIDS)
190.10Laboratory Tests - CRD Patients
190.11Home Prothrombin Time/International Normalized Ratio (PT/INR) Monitoring for Anticoagulation Management
190.12Urine Culture, Bacterial
190.13Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring)
190.14Human Immunodeficiency Virus (HIV) Testing (Diagnosis)
190.15Blood Counts
190.16Partial ThromboplastinTime (PTT)
190.17Prothrombin Time (PT)
190.18Serum Iron Studies
190.19Collagen Crosslinks, any Method
190.20Blood Glucose Testing
190.21Glycated Hemoglobin/Glycated Protein
190.22Thyroid Testing
190.23Lipid Testing
190.24Digoxin Therapeutic Drug Assay
190.25Alpha-fetoprotein
190.26Carcinoembryonic Antigen
190.27Human Chorionic Gonadotropin
190.28Tumor Antigen by Immunoassay - CA 125
190.29Tumor Antigen by Immunoassay - CA 15-3/CA 27.29
190.30Tumor Antigen by Immunoassay - CA 19-9
190.31Prostate Specific Antigen
190.32Gamma Glutamyl Transferase
190.33Hepatitis Panel/Acute Hepatitis Panel
190.34Fecal Occult Blood Test
[2 Records]
NCD SectionNCD Title
200.1Nesiritide for Treatment of Heart Failure Patients
200.2Nebulized Beta Adrenergic Agonist Therapy for Lung Diseases
[11 Records]
NCD SectionNCD Title
210.1Prostate Cancer Screening Tests
210.2Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer
210.3Colorectal Cancer Screening Tests
210.4Smoking and Tobacco-Use Cessation Counseling
210.4.1Counseling to Prevent Tobacco Use
210.7Screening for the Human Immunodeficiency Virus (HIV) Infection
210.8Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
210.9Screening for Depression in Adults
210.10Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs
210.11Intensive Behavioral Therapy for Cardiovascular Disease
210.12Intensive Behavioral Therapy for Obesity
[32 Records]
NCD SectionNCD Title
220.1Computed Tomography
220.2Magnetic Resonance Imaging
220.2.1Magnetic Resonance Spectroscopy
220.3Magnetic Resonance Angiography
220.4Mammograms
220.5Ultrasound Diagnostic Procedures
220.6Positron Emission Tomography (PET) Scans
220.6.1PET for Perfusion of the Heart
220.6.10FDG PET for Breast Cancer
220.6.11FDG PET for Thyroid Cancer
220.6.12FDG PET for Soft Tissue Sarcoma
220.6.13FDG PET for Dementia and Neurodegenerative Diseases
220.6.14FDG PET for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers
220.6.15FDG PET for All Other Cancer Indications Not Previously Specified
220.6.16FDG PET for Infection and Inflammation
220.6.17Positron Emission Tomography (FDG) for Oncologic Conditions
220.6.19Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer
220.6.2FDG PET for Lung Cancer
220.6.3FDG PET for Esophageal Cancer
220.6.4FDG PET for Colorectal Cancer
220.6.5FDG PET for Lymphoma
220.6.6FDG PET for Melanoma
220.6.7FDG PET for Head and Neck Cancers
220.6.8FDG PET for Myocardial Viability
220.6.9FDG PET for Refractory Seizures
220.7Xenon Scan
220.8Nuclear Radiology Procedure
220.9Digital Subtraction Angiography
220.10Portable Hand-Held X-Ray Instrument
220.11Thermography
220.12Single Photon Emission Computed Tomography (SPECT)
220.13Percutaneous Image-Guided Breast Biopsy
NCD SectionNCD Title
230.1Treatment of Kidney Stones
230.2Uroflowmetric Evaluations
230.3Sterilization
230.4Diagnosis and Treatment of Impotence
230.5Gravlee Jet Washer
230.6Vabra Aspirator
230.7Water Purification and Softening Systems Used in Conjunction with Home Dialysis
230.8Non-Implantable Pelvic Floor Electrical Stimulator
230.9Cryosurgery of Prostate
230.10Incontinence Control Devices
230.11Diagnostic Pap Smears
230.12Dimethyl Sulfoxide (DMSO)
230.13Peridex CAPD Filter Set
230.14Ultrafiltration Monitor
230.15Electrical Continence Aid
230.16Bladder Stimulators (Pacemakers)
230.17Urinary Drainage Bags
230.18Sacral Nerve Stimulation For Urinary Incontinence
230.19Levocarnitine for use in the Treatment of Carnitine Deficiency in ESRD Patients
NCD SectionNCD Title
240.1Lung Volume Reduction Surgery (Reduction Pneumoplasty)
240.2Home Use of Oxygen
240.2.1Home Use of Oxygen in Approved Clinical Trials
240.2.2Home Oxygen Use to Treat Cluster Headache (CH)
240.3Heat Treatment, Including the Use of Diathermy and Ultra-Sound for Pulmonary Conditions
240.4Continuous Positive Airway Pressure (CPAP) Therapy For Obstructive Sleep Apnea (OSA)
240.4.1Sleep Testing for Obstructive Sleep Apnea (OSA)
240.5Intrapulmonary Percussive Ventilator (IPV)
240.6Transvenous (Catheter) Pulmonary Embolectomy
240.7Postural Drainage Procedures and Pulmonary Exercises
240.8Pulmonary Rehabilitation Services
[5 Records]
NCD SectionNCD Title
250.1Treatment of Psoriasis
250.2Hemorheograph
250.3Intravenous Immune Globulin for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
250.4Treatment of Actinic Keratosis
250.5Dermal Injections for the Treatment of Facial Lipodystrophy Syndrome (LDS)
NCD SectionNCD Title
260.1Adult Liver Transplantation
260.2Pediatric Liver Transplantation
260.3Pancreas Transplants
260.3.1Islet Cell Transplantation in the Context of a Clinical Trial
260.5Intestinal and Multi-Visceral Transplantation
260.6Dental Examination Prior to Kidney Transplantation
260.7Lymphocyte Immune Globulin, Anti-Thymocyte Globulin (Equine)
260.9Heart Transplants
260.10Heartsbreath Test for Heart Transplant Rejection
[6 Records]
NCD SectionNCD Title
270.1Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds
270.2Noncontact Normothermic Wound Therapy (NNWT)
270.3Blood-Derived Products for Chronic Non-Healing Wounds
270.4Treatment of Decubitus Ulcers
270.5Porcine Skin and Gradient Pressure Dressings
270.6Infrared Therapy Devices
NCD SectionNCD Title
280.1Durable Medical Equipment Reference List
280.2White Cane for Use by a Blind Person
280.3Mobility Assistive Equipment (MAE)
280.4Seat Lift
280.6Pneumatic Compression Devices
280.7Hospital Beds
280.8Air-Fluidized Bed
280.10Prosthetic Shoe
280.11Corset Used as Hernia Support
280.12Sykes Hernia Control
280.13Transcutaneous Electrical Nerve Stimulators (TENS)
280.14Infusion Pumps
280.15INDEPENDENCE iBOT 4000 Mobility System
[2 Records]
NCD SectionNCD Title
290.1Home Health Visits to a Blind Diabetic
290.2Home Health Nurses' Visits to Patients Requiring Heparin Injection
NCD SectionNCD Title
300.1Obsolete or Unreliable Diagnostic Tests
NCD SectionNCD Title
310.1Routine Costs in Clinical Trials





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