CMS NCD Updates

Medicare coverage is limited to items and services that are reasonable and necessary for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category). 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) . In the absence of a national coverage policy, an item or service may be covered at the discretion of the Medicare contractors based on a local coverage determination (LCD).

  • NCD
  • Name
  • Description of update

  • 240.2
  • Home use of oxygen
  • Lowers initial period of coverage from 120 to 90 days &ncdver=2 &bc=0

  • 210.14
  • Lung cancer screening with low exam dose computed tomography
  • Expands the eligibility criteria for this exam &ncdver=2 &bc=0

Last updated Nov 13, 2023