Billing

    Local Coverage Determination (LCD)

    A Local Coverage Determination (LCD) is a Medicare Administrative Contractor's decision about whether a particular service is covered as reasonable and necessary within its jurisdiction.

    Definition

    A Local Coverage Determination (LCD) is a Medicare Administrative Contractor's decision about whether a particular service is covered as reasonable and necessary within its jurisdiction.

    Why it matters

    Agencies should use the LCD and associated billing articles applicable to the patient, service, date, and MAC jurisdiction.

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