Medicare Coverage Policies

The policies below have been edited from the complete Medicare Local (LCD's) and National (NCD's) Coverage Determinations and are intended to be a guide/quick reference, not a substitute for the complete Medicare Local Coverage Determinations, National Coverage Determinations or the ICD-9 manual.

The complete policies may be accessed through Highmark Medicare Services and Centers for Medicare & Medicaid Services. Please refer to the ICD-9 manual for a complete listing of ICD-9 codes. The ultimate responsibility for correct coding lies with the ordering physician. All ICD-9 codes must be medically appropriate for the patient's condition and consistent with the information found in the patient's medical record for the date of service.

Note: In order to view the PDF file you must have Adobe Acrobat Reader. If you do not click here to download Adobe Acrobat Reader.

For additional information, please contact : Customer Care Phone: 610-402-8170 Toll Free: 1-877-402-4221 or Click here.