Policy corpus

The coverage policies we hold

One row per policy: the contractor that issued it, the effective date CMS published, how many distinct versions of its text we have captured, and the CMS document. Every row links to its source. Nothing here is behind a login. The dated change feed is a different view of the same records.

1,097 local coverage determinations · page 6 of 11

PolicyTitleContractorEffectiveVersions heldSource
L39042MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate CancerWPS2025-07-031cms.gov ↗
L33423Cardiac Computed Tomography & Angiography (CCTA)Palmetto GBA2025-06-261cms.gov ↗
L34526Surgical Treatment of Obstructive Sleep Apnea (OSA)WPS2025-06-261cms.gov ↗
L34760Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)WPS2025-06-261cms.gov ↗
L36839Polysomnography and Other Sleep StudiesWPS2025-06-261cms.gov ↗
L37725MolDX: Melanoma Risk Stratification Molecular TestingPalmetto GBA2025-06-261cms.gov ↗
L37748MolDX: Melanoma Risk Stratification Molecular TestingNoridian2025-06-261cms.gov ↗
L38016MolDX: Melanoma Risk Stratification Molecular TestingCGS Administrators2025-06-261cms.gov ↗
L38018MolDX: Melanoma Risk Stratification Molecular TestingWPS2025-06-261cms.gov ↗
L35984MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)CGS Administrators2025-06-191cms.gov ↗
L37903MolDX: Inivata™, InVisionFirst®, Liquid Biopsy for Patients with Lung CancerCGS Administrators2025-06-191cms.gov ↗
L33800Respiratory Assist DevicesDME MAC2025-06-091cms.gov ↗
L34434Upper Gastrointestinal Endoscopy and VisualizationPalmetto GBA2025-06-051cms.gov ↗
L34594Nerve Conduction Studies and ElectromyographyWPS2025-05-291cms.gov ↗
L34615Visual FieldsWPS2025-05-291cms.gov ↗
L34633Erythropoiesis Stimulating Agents (ESAs)WPS2025-05-291cms.gov ↗
L36807MolDX: Molecular Diagnostic Tests (MDT)WPS2025-05-291cms.gov ↗
L38837Colon Capsule Endoscopy (CCE)WPS2025-05-291cms.gov ↗
L37130MolDX: DecisionDx-UM (Uveal Melanoma)CGS Administrators2025-05-221cms.gov ↗
L38111MolDX: Pigmented Lesion AssayCGS Administrators2025-05-221cms.gov ↗
L36117MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative DiseaseCGS Administrators2025-05-151cms.gov ↗
L39802Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)CGS Administrators2025-05-151cms.gov ↗
L36811MolDX: Breast Cancer Assay: Prosigna®WPS2025-05-011cms.gov ↗
L37663MolDX: EndoPredict® Breast Cancer Gene Expression TestWPS2025-05-011cms.gov ↗
L37913MolDX: Breast Cancer Index® (BCI) Gene Expression TestWPS2025-05-011cms.gov ↗
L39479MolDX: Molecular Assays for the Diagnosis of Cutaneous MelanomaWPS2025-05-011cms.gov ↗
L39529Intraarticular Knee Injections of HyaluronanWPS2025-05-011cms.gov ↗
L35396Biomarkers for OncologyNovitas2025-04-241cms.gov ↗
L39365Genetic Testing in Oncology: Specific TestsNovitas2025-04-241cms.gov ↗
L39367Genetic Testing in Oncology: Specific TestsFirst Coast2025-04-241cms.gov ↗
L34570Psychiatric Inpatient HospitalizationPalmetto GBA2025-04-171cms.gov ↗
L35132Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes MellitusPalmetto GBA2025-04-171cms.gov ↗
L36707Urine Drug TestingNoridian2025-04-171cms.gov ↗
L39797Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)Palmetto GBA2025-04-171cms.gov ↗
L39812Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)Noridian2025-04-171cms.gov ↗
L39942Intervertebral Disc RepairPalmetto GBA2025-04-131cms.gov ↗
L39958Intervertebral Disc RepairCGS Administrators2025-04-131cms.gov ↗
L39962Intervertebral Disc RepairNoridian2025-04-131cms.gov ↗
L38712Transurethral Waterjet Ablation of the ProstateNovitas2025-04-061cms.gov ↗
L38726Transurethral Waterjet Ablation of the ProstateFirst Coast2025-04-061cms.gov ↗
L33317External Breast ProsthesesDME MAC2025-04-011cms.gov ↗
L34424Magnetic Resonance AngiographyPalmetto GBA2025-03-271cms.gov ↗
L34425Magnetic Resonance Imaging of the Head and NeckPalmetto GBA2025-03-271cms.gov ↗
L37228Wound CareWPS2025-03-271cms.gov ↗
L39956Total Shoulder ArthroplastyPalmetto GBA2025-03-271cms.gov ↗
L36593PolysomnographyPalmetto GBA2025-03-201cms.gov ↗
L35922Lab: Special Histochemical Stains and Immunohistochemical StainsPalmetto GBA2025-03-131cms.gov ↗
L37260MolDX: Prometheus® IBD sgi Diagnostic® PolicyPalmetto GBA2025-03-131cms.gov ↗
L37313MolDX: Prometheus® IBD sgi Diagnostic® PolicyNoridian2025-03-131cms.gov ↗
L37581Lab: Cystatin C MeasurementPalmetto GBA2025-03-131cms.gov ↗
L38745Platelet Rich PlasmaPalmetto GBA2025-03-131cms.gov ↗
L39237Erythropoiesis Stimulating AgentsPalmetto GBA2025-03-131cms.gov ↗
L39256MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and NeoplasiaPalmetto GBA2025-03-131cms.gov ↗
L39258Surgical Treatment of NailsPalmetto GBA2025-03-131cms.gov ↗
L39264MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and NeoplasiaNoridian2025-03-131cms.gov ↗
L39646MolDX: Molecular Testing for Risk Stratification of Thyroid NodulesPalmetto GBA2025-03-131cms.gov ↗
L39684MolDX: Molecular Testing for Risk Stratification of Thyroid NodulesNoridian2025-03-131cms.gov ↗
L39851Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)Palmetto GBA2025-03-131cms.gov ↗
L38043MolDX: Plasma-Based Genomic Profiling in Solid TumorsPalmetto GBA2025-03-061cms.gov ↗
L38168MolDX: Plasma-Based Genomic Profiling in Solid TumorsWPS2025-03-061cms.gov ↗
L39232MolDX: Plasma-Based Genomic Profiling in Solid TumorsNoridian2025-03-061cms.gov ↗
L37539MolDX: Prometheus® IBD sgi Diagnostic® PolicyWPS2025-02-281cms.gov ↗
L39356MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and NeoplasiaWPS2025-02-281cms.gov ↗
L39913Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)WPS2025-02-281cms.gov ↗
L35724Urine Drug TestingPalmetto GBA2025-02-201cms.gov ↗
L37020Plastic SurgeryNoridian2025-02-141cms.gov ↗
L37618Lab: Cystatin C MeasurementNoridian2025-02-141cms.gov ↗
L39023Platelet Rich Plasma Injections for Non-Wound InjectionsCGS Administrators2025-02-141cms.gov ↗
L39060Platelet Rich Plasma Injections for Non-Wound InjectionsNoridian2025-02-141cms.gov ↗
L39840Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)CGS Administrators2025-02-141cms.gov ↗
L39883Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT )/Coronary Plaque Analysis (AI-CPA)Noridian2025-02-141cms.gov ↗
L33949Botulinum ToxinsCGS Administrators2025-02-061cms.gov ↗
L39741Cervical FusionCGS Administrators2025-02-061cms.gov ↗
L39762Cervical FusionNoridian2025-01-301cms.gov ↗
L39770Cervical FusionNational Government Services2025-01-301cms.gov ↗
L34869Repetitive Transcranial Magnetic Stimulation (rTMS) in AdultsPalmetto GBA2025-01-161cms.gov ↗
L39773Cervical FusionPalmetto GBA2025-01-161cms.gov ↗
L34573Cardiac Event DetectionPalmetto GBA2025-01-141cms.gov ↗
L33444Pulmonary Stress TestingPalmetto GBA2025-01-021cms.gov ↗
L39475Sacroiliac Joint Injections and ProceduresWPS2024-12-261cms.gov ↗
L39477Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell OriginWPS2024-12-261cms.gov ↗
L39788Cervical FusionWPS2024-12-261cms.gov ↗
L34454Colonoscopy/Sigmoidoscopy/ProctosigmoidoscopyPalmetto GBA2024-12-191cms.gov ↗
L34552Outpatient Observation Bed/Room ServicesPalmetto GBA2024-12-191cms.gov ↗
L37387Chiropractic ServicesPalmetto GBA2024-12-191cms.gov ↗
L38551Transanal Endoscopic Surgery (TES)Palmetto GBA2024-12-191cms.gov ↗
L39270Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell OriginPalmetto GBA2024-12-191cms.gov ↗
L33422Brain Natriuretic Peptide (BNP) LevelPalmetto GBA2024-12-031cms.gov ↗
L39877Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-WoundFirst Coast2024-12-011cms.gov ↗
L39879Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-WoundNovitas2024-12-011cms.gov ↗
L35026RituximabPalmetto GBA2024-11-281cms.gov ↗
L39402Sacroiliac Joint Injections and ProceduresPalmetto GBA2024-11-281cms.gov ↗
L34413Cataract SurgeryPalmetto GBA2024-11-211cms.gov ↗
L34559Hospice - Renal CarePalmetto GBA2024-11-211cms.gov ↗
L37531Micro-Invasive Glaucoma Surgery (MIGS)Palmetto GBA2024-11-171cms.gov ↗
L38301Micro-Invasive Glaucoma Surgery (MIGS)Noridian2024-11-171cms.gov ↗
L34547Hospice - Neurological ConditionsPalmetto GBA2024-11-141cms.gov ↗
L35048Nerve Conduction Studies and ElectromyographyPalmetto GBA2024-11-141cms.gov ↗
L32553Allergy ImmunotherapyCGS Administrators2024-11-071cms.gov ↗
L38240MolDX: Blood Product Molecular Antigen TypingPalmetto GBA2024-11-071cms.gov ↗

“Versions held” counts distinct captured texts of the policy since capture began; a policy captured once has one. A “—” means the count could not be read on this load, not that none are held. How versions are captured and dated is on Methodology.