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The Centers for Medicare and Medicaid Services (CMS) Medicare Coverage Database (MCD) contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions. The database also includes several other types of National Coverage policy related documents, including National Coverage Analyses (NCAs), Coding Analyses for Labs (CALs), Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) proceedings, Technical Assessments (TAs), and Medicare coverage guidance documents.

The MCD is located at https://www.cms.gov/medicare-coverage-database , one of the top links on the CMS website homepage.​​​​​​​​​

  
  
  
  
  
  
  
  
  
  
MPattachmentdataPub
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587AlwaysBundledProcedureCodesMA00.026wAdministrative (00)MA00.026wMA00.0268ad98210-e2f2-4d4b-8215-e8f059651c43Always Bundled Procedure CodesAlways Bundled Procedure Codes
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387BillingforProfessionalOffice-BasedServicesPerformedinanOutpatientOffice-BasedSettingLocatedwithinaFacilityoronaFacilityCampusMA00.037lAdministrative (00)MA00.037lMA00.037a98a0a5b-faee-4011-916e-6b7e0b0cb2e7Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility CampusBilling for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
{"388": {"Id":388,"MPAttachmentLetter":"A","Title":"Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus - CPT/HCPCS Codes","MPPolicyAttachmentInternalSourceId":7909,"PolicyAttachmentPageName":"da46264d-710a-4d99-bac3-2e5524ea2b5c"},}
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586CareManagementandCarePlanningServicesMA00.006oAdministrative (00)MA00.006oMA00.0064d3df4c1-93fc-4cbc-a7e4-8826439d75b6Care Management and Care Planning ServicesCare Management and Care Planning Services
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535CastandSplintApplicationsandAssociatedSuppliesMA00.012cAdministrative (00)MA00.012cMA00.0129c2590d7-e073-4b5d-9602-400cccc67903Cast and Splint Applications and Associated SuppliesCast and Splint Applications and Associated Supplies
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493ComplementaryandIntegrativeHealthServicesMA12.001eMiscellaneous (12)MA12.001eMA12.00164558b3d-820c-4bf9-89f4-aa6f5971cfabComplementary and Integrative Health ServicesComplementary and Integrative Health Services
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206ConsultationServicesMA00.049aAdministrative (00)MA00.049aMA00.04957649d5c-49aa-4216-9686-3c820b5d1237Consultation ServicesConsultation Services
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237ContrastAgentsUsedinConjunctionwithEchocardiographyMA09.004cRadiology (09)MA09.004cMA09.00416379ab5-1c4e-4ad3-9aa8-49dea5cd3d30Contrast Agents Used in Conjunction with EchocardiographyContrast Agents Used in Conjunction with Echocardiography
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569CoverageofMedicalDevicesMA05.040bDME (05)MA05.040bMA05.0402f997d8d-d556-4ad4-a53e-1fdce48be666Coverage of Medical DevicesCoverage of Medical Devices
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571CriteriaforReimbursementofEmergencyRoomServicesMA00.044dAdministrative (00)MA00.044dMA00.044b0babac9-c0df-4a9b-8fd7-3b814b94b1cbCriteria for Reimbursement of Emergency Room ServicesCriteria for Reimbursement of Emergency Room Services
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389DirectAccesstoObstetrics/Gynecology(OB/GYN)ServicesMA00.032fAdministrative (00)MA00.032fMA00.0325ee3343f-4d11-4033-86cc-6bc84fb21ce4Direct Access to Obstetrics/Gynecology (OB/GYN) ServicesDirect Access to Obstetrics/Gynecology (OB/GYN) Services
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545DurableMedicalEquipment(DME)MA05.044rDME (05)MA05.044rMA05.0440de0d492-fda0-4197-aa56-db0e292be3e5Durable Medical Equipment (DME)Durable Medical Equipment (DME)
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570DurableMedicalEquipment(DME)NotSubjecttoaRentaltoPurchaseMaximumMA05.028eDME (05)MA05.028eMA05.028162680b0-573a-494c-a64f-917fc8042c14Durable Medical Equipment (DME) Not Subject to a Rental to Purchase MaximumDurable Medical Equipment (DME) Not Subject to a Rental to Purchase Maximum
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533FacilityReportingofObservationServicesMA00.040bAdministrative (00)MA00.040bMA00.0407baa5f1c-27fa-4aa0-a7d0-62d6e2937813Facility Reporting of Observation ServicesFacility Reporting of Observation Services
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494HighOsmolarContrastAgentsMA09.005aRadiology (09)MA09.005aMA09.0052b7d06bc-67ae-423a-8f21-ba39734c69beHigh Osmolar Contrast AgentsHigh Osmolar Contrast Agents
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534InpatientHospitalReadmissionMA00.023bAdministrative (00)MA00.023bMA00.023a88e0a82-43b4-44d6-b004-adde57888155Inpatient Hospital ReadmissionInpatient Hospital Readmission
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316Instrument-BasedVisionScreeningMA07.048aMedicine (07)MA07.048aMA07.048c9388493-27eb-4cf4-bf9f-6916792f003eInstrument-Based Vision ScreeningInstrument-Based Vision Screening
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26Intravenous (IV) Administration of Fluids as a Treatment of a Medical Condition or for the Preparation of Pharmaceuticals, Biologics, and other SubstancesAdministrative (00)MA00.022MA00.02285257D39006E79458525847100593A59Intravenous (IV) Administration of Fluids as a Treatment of a Medical Condition or for the Preparation of Pharmaceuticals, Biologics, and other SubstancesIntravenous (IV) Administration of Fluids as a Treatment of a Medical Condition or for the Preparation of Pharmaceuticals, Biologics, and other Substances
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320LowOsmolarContrastAgentsMA09.008aRadiology (09)MA09.008aMA09.0081f017774-27b5-4e40-b888-b50219a82b0bLow Osmolar Contrast AgentsLow Osmolar Contrast Agents
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544MagneticResonanceImaging(MRI)ContrastAgentsMA09.010fRadiology (09)MA09.010fMA09.0104bf9cfb9-1f7d-4559-b670-d8bbf1bbcad4Magnetic Resonance Imaging (MRI) Contrast AgentsMagnetic Resonance Imaging (MRI) Contrast Agents
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233Modifier24:UnrelatedEvaluationandManagementServicebytheSamePhysicianorOtherQualifiedHealthCareProfessionalDuringaPostoperativePeriodMA03.009eClinical Logic (03)MA03.009eMA03.0097c7a87e2-ec6e-4784-b62c-646710563f53Modifier 24: Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative PeriodModifier 24: Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period
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541Modifier25:Significant,SeparatelyIdentifiableEvaluationandManagementServicebytheSamePhysicianorOtherQualifiedHealthCareProfessionalontheSameDayoftheProcedureorOtherServiceMA03.003oClinical Logic (03)MA03.003oMA03.00364438c6e-1a18-402c-8a9e-580ad28611cbModifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other ServiceModifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service
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572Modifier50:BilateralProcedureMA03.002sClinical Logic (03)MA03.002sMA03.002709875b9-2408-49fb-a0e5-199b77129f42Modifier 50: Bilateral ProcedureModifier 50: Bilateral Procedure
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226Modifier52:ReducedServicesMA03.014bClinical Logic (03)MA03.014bMA03.014b3b91395-a317-41de-b416-eb880d28e0c9Modifier 52: Reduced ServicesModifier 52: Reduced Services
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225Modifier53:DiscontinuedProcedureMA03.018bClinical Logic (03)MA03.018bMA03.01878b314b5-371e-497f-a26b-8462a03d2d6bModifier 53: Discontinued ProcedureModifier 53: Discontinued Procedure
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235Modifier57:DecisionforSurgeryMA03.010eClinical Logic (03)MA03.010eMA03.0103967153e-3d87-4efc-bdab-40f3a1f59027Modifier 57:  Decision for SurgeryModifier 57: Decision for Surgery
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573Modifier62:TwoSurgeonsMA00.011uAdministrative (00)MA00.011uMA00.0114d0bb5e6-4f97-4a8b-a86b-76b67bec1c1bModifier 62: Two SurgeonsModifier 62: Two Surgeons
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419Modifier66:SurgicalTeamMA00.014jAdministrative (00)MA00.014jMA00.014e9bc950d-7cc1-41e1-9170-192df7aa0a5dModifier 66: Surgical TeamModifier 66: Surgical Team
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322Modifier76:RepeatProcedureorServicebySamePhysicianorOtherQualifiedHealthCareProfessionalMA03.001bClinical Logic (03)MA03.001bMA03.001108de71a-6f89-49a0-b5ca-4e6efc35f5b7Modifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care ProfessionalModifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
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234Modifier77:RepeatProcedureorServicebyAnotherPhysicianorOtherQualifiedHealthCareProfessionalMA03.007bClinical Logic (03)MA03.007bMA03.0073d544cfc-22c9-4703-a5fb-49be357d1621Modifier 77: Repeat Procedure or Service by Another Physician or Other Qualified Health Care ProfessionalModifier 77: Repeat Procedure or Service by Another Physician or Other Qualified Health Care Professional
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229Modifier78:UnplannedReturntotheOperating/ProcedureRoombytheSamePhysicianorOtherQualifiedHealthCareProfessionalFollowingInitialProcedureforaRelatedProcedureDuringthePostoperativePeriodMA03.008cClinical Logic (03)MA03.008cMA03.008871b932b-3206-4e2c-b15e-732c7fc05552Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative PeriodModifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period
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228Modifier79:UnrelatedProcedureorServicebytheSamePhysicianorOtherQualifiedHealthCareProfessionalDuringthePostoperativePeriodMA03.012dClinical Logic (03)MA03.012dMA03.0124e608449-a0f5-4080-b758-a286fd5284a2Modifier 79:  Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative PeriodModifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period
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538Modifiers26(ProfessionalComponent)andTC(TechnicalComponent)MA03.011nClinical Logic (03)MA03.011nMA03.0116ad04bef-138e-4695-a223-11b214bf7a9cModifiers 26 (Professional Component) and TC (Technical Component)Modifiers 26 (Professional Component) and TC (Technical Component)
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540ModifiersforAssistant-at-SurgeryServices:80,81,82,andASMA00.015rAdministrative (00)MA00.015rMA00.015b279e292-ccd2-4b46-a184-277bad998379Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and ASModifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS
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227ModifiersforSharedorSplitSurgicalServices(Modifiers54,55,56)MA03.017cClinical Logic (03)MA03.017cMA03.017754fd78f-3dcb-4ec4-95b9-c03173e9e155Modifiers for Shared or Split Surgical Services (Modifiers 54, 55, 56)Modifiers for Shared or Split Surgical Services (Modifiers 54, 55, 56)
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537ModifiersXE,XS,XP,XU,and59MA03.005cClinical Logic (03)MA03.005cMA03.00562fb0352-3f73-451e-8478-f4898a64c9deModifiers XE, XS, XP, XU, and 59Modifiers XE, XS, XP, XU, and 59
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216MultipleProcedurePaymentReduction(MPPR)onCertainDiagnosticServicesMA01.005gAnesthesia (01)MA01.005gMA01.005fd9441f7-3279-41e1-bde4-0636c6810afaMultiple Procedure Payment Reduction (MPPR) on Certain Diagnostic ServicesMultiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services
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438MultipleProcedurePaymentReductionGuidelinesforPhysical,Occupational,andSpeechTherapyServicesMA00.050aAdministrative (00)MA00.050aMA00.05057615dab-e0d9-4064-ad0c-db02855b6b96Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy ServicesMultiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services
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585MultipleSurgeryPaymentReductionMA11.032hSurgery (11)MA11.032hMA11.032894ae05d-4e0e-458f-ae7e-7ee4c02e6daaMultiple Surgery Payment ReductionMultiple Surgery Payment Reduction
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223NationalCorrectCodingInitiative(NCCI)CodePairEditsMA00.041aAdministrative (00)MA00.041aMA00.04153e83cf3-3d26-4d7c-b6e9-e65fe70e798eNational Correct Coding Initiative (NCCI) Code Pair EditsNational Correct Coding Initiative (NCCI) Code Pair Edits
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531OctreotideAcetate(Sandostatin®LARDepot)MA08.065iPharmacy (08)MA08.065iMA08.065625a8546-38bb-41dd-840a-931b6873bf9fOctreotide Acetate (Sandostatin® LAR Depot)Octreotide Acetate (Sandostatin® LAR Depot)
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574PPONetworkRulesforProvisionofSpecialtyServicesforDurableMedicalEquipmentandLaboratory,Radiology,andPhysicalMedicineandRehabilitativeServicesMA00.010arAdministrative (00)MA00.010arMA00.010fb11ad17-818c-4adf-8dc4-f069329d631bPPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
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498RadiologicGuidanceand/orSupervisionandInterpretationofaProcedureMA00.019jAdministrative (00)MA00.019jMA00.019c552c0ac-61f2-41e7-b6d1-8c4e3aa2881fRadiologic Guidance and/or Supervision and Interpretation of a ProcedureRadiologic Guidance and/or Supervision and Interpretation of a Procedure
{"499": {"Id":499,"MPAttachmentLetter":"A","Title":"Radiologic Guidance and Supervision and Interpretation Procedure Codes","MPPolicyAttachmentInternalSourceId":8796,"PolicyAttachmentPageName":"61155915-a13f-431b-8077-6377357d6ec8"},}
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500ReimbursementforanIntraocularLensMA11.043aSurgery (11)MA11.043aMA11.043d609a3cb-2796-433d-a328-73ebb0a83049Reimbursement for an Intraocular LensReimbursement for an Intraocular Lens
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317ReimbursementforComponentsofComprehensiveLaboratoryPanelsMA01.006aAnesthesia (01)MA01.006aMA01.00627dfc768-a6c5-4bb2-bcad-af6af286f7d0Reimbursement for Components of Comprehensive Laboratory PanelsReimbursement for Components of Comprehensive Laboratory Panels
{"3501": {"Id":3501,"MPAttachmentLetter":"A","Title":"CPT Codes","MPPolicyAttachmentInternalSourceId":6269,"PolicyAttachmentPageName":"c3e1e19e-e85e-4bd8-8539-4253851dd46a"},}
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568ReimbursementforRadiopharmaceuticalAgentsforProfessionalProvidersMA09.009uRadiology (09)MA09.009uMA09.009d95fe60b-602e-4b97-b54d-77f689370815Reimbursement for Radiopharmaceutical Agents for Professional ProvidersReimbursement for Radiopharmaceutical Agents for Professional Providers
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245ReimbursementfortheAdministrationofImmunizationsMA07.019bMedicine (07)MA07.019bMA07.0191e93764f-529e-41b2-9a1d-90e82cfe5933Reimbursement for the Administration of ImmunizationsReimbursement for the Administration of Immunizations
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549RepairandReplacementofDurableMedicalEquipment(DME)andProstheticDevicesMA05.062kDME (05)MA05.062kMA05.06272315298-a733-4677-ae6b-07f177915592Repair and Replacement of Durable Medical Equipment (DME) and Prosthetic DevicesRepair and Replacement of Durable Medical Equipment (DME) and Prosthetic Devices
{"550": {"Id":550,"MPAttachmentLetter":"A","Title":"A list of Healthcare Common Procedure Coding System (HCPCS) codes with narratives that are specific to repair or replacement","MPPolicyAttachmentInternalSourceId":9188,"PolicyAttachmentPageName":"df3857db-3ae4-4f2d-8e5c-93bc0f8e82e6"},}
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385ReportingandDocumentationRequirementsforAnesthesiaServicesMA00.009hAdministrative (00)MA00.009hMA00.009fdae72fc-2278-473c-bee5-78d7a931a048Reporting and Documentation Requirements for Anesthesia ServicesReporting and Documentation Requirements for Anesthesia Services
{"386": {"Id":386,"MPAttachmentLetter":"A","Title":"ASA Anesthesia Procedure Codes","MPPolicyAttachmentInternalSourceId":7906,"PolicyAttachmentPageName":"916c89e8-5615-43f9-ae62-0b94c2d45873"},}
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244ReportingRequirementsforDrugsandBiologicsMA00.024cAdministrative (00)MA00.024cMA00.0246a8a5b51-0ab2-401d-854b-796e864abb3aReporting Requirements for Drugs and BiologicsReporting Requirements for Drugs and Biologics
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