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National Coverage Determinations

National Coverage Determinations

National Coverage Determinations (NCDs) describe the circumstances for Medicare coverage nationwide for a specific medical service, procedure, or device. NCDs generally outline the conditions for which a service is considered to be covered, or not covered, under §1862(a)(1) or other applicable provisions of the Social Security Act (that is, a determination as to whether the service is reasonable and necessary).

Below are changes that have been announced within the past year. It will be updated periodically.

NCD Changes

Implantable Automatic Defibrillators: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2019Downloads/R213NCD.pdf

Next Generation Sequencing (NGS): https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2019Downloads/R215NCD.pdf