Get Medicare Coverage Database - Overview - CMS.gov

How Do I Search for an LCD or NCD? Go to the MCD webpage . If you know the document ID of the LCD or LCA, you may enter it in the search field. ... If you do not know the article numbers, enter a code or keyword. ... In the second search box, click the drop-down to select the state.

Medical Coverage Database (MCD) quick reference guide.

What is the Medicare Coverage Database (MCD)? The Medicare Coverage Database (MCD) contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions.

National coverage determinations (NCDs) are made through an evidence-based process, with opportunities for public participation. In some cases, CMS' own research is supplemented by an outside technology assessment and/or consultation with the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC).

On the Medicare Coverage Database (MCD) you can use CPT/HCPCS codes to search for documents. Results will return Billing and Coding Articles or other documents that include the specified code.

In making coverage decisions involving CED, CMS decides after a formal review of the medical literature to cover an item or service only in the context of an approved clinical study or when additional clinical data are collected to assess the appropriateness of an item or service for use with a particular beneficiary.

What's a "Local Coverage Determination" (LCD)? LCDs are decisions made by a Medicare Administrative Contractor (MAC) whether to cover a particular item or service in a MAC's jurisdiction (region) in ance with section 1862(a)(1)(A) of the Social Security Act.

Overview. Data.CMS.gov has datasets about Medicare Fee-For-Service, special programs and initiatives, and the Health Insurance Marketplace. This includes information on providers who accept Medicare, services and procedures delivered by providers, and qualified health plans.