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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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214AlwaysBundledProcedureCodesMA00.026nAdministrative (00)MA00.026nMA00.026c308d403-fa13-4dbf-9ff8-232d4a5cdeebAlways Bundled Procedure CodesAlways Bundled Procedure Codes
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219BillingforProfessionalOffice-BasedServicesPerformedinanOutpatientOffice-BasedSettingLocatedwithinaFacilityoronaFacilityCampusMA00.037kAdministrative (00)MA00.037kMA00.037fa386a65-d740-4764-878d-b0c03ccee966Billing 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
{"3322": {"Id":3322,"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":6120,"PolicyAttachmentPageName":"59902f83-9042-435b-95fb-a2fc79a83db1"},}
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205CastandSplintApplicationsandAssociatedSuppliesMA00.012cAdministrative (00)MA00.012cMA00.012b86099e5-ed74-4f52-9ab4-c534c779cb23Cast and Splint Applications and Associated SuppliesCast and Splint Applications and Associated Supplies
{"3613": {"Id":3613,"MPAttachmentLetter":"A","Title":"Procedures Related to Cast and Splint Applications and Associated Supplies","MPPolicyAttachmentInternalSourceId":6422,"PolicyAttachmentPageName":"eec4f404-030d-42ce-855c-d06522638dd4"},}
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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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38Criteria for Reimbursement of Emergency Room ServicesAdministrative (00)MA00.044bMA00.04485257D39006E7945852584FD00658A7ACriteria for Reimbursement of Emergency Room ServicesCriteria for Reimbursement of Emergency Room Services
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238DurableMedicalEquipment(DME)NotSubjecttoaRentaltoPurchaseMaximumMA05.028eDME (05)MA05.028eMA05.02881644841-0f55-4dc1-9476-5ab8d631fd3aDurable 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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243FacilityReportingofObservationServicesMA00.040bAdministrative (00)MA00.040bMA00.040829f9d67-69cd-42ef-98c7-f046756cbf8eFacility Reporting of Observation ServicesFacility Reporting of Observation Services
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321HighOsmolarContrastAgentsMA09.005aRadiology (09)MA09.005aMA09.0057e414ffd-45df-4d01-9363-6562cde82944High Osmolar Contrast AgentsHigh Osmolar Contrast Agents
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319IncidentToandNon-IncidentToServicesPerformedbyCertifiedRegisteredNursePractitioners(CRNPs)andPhysicianAssistants(PAs)MA00.045dAdministrative (00)MA00.045dMA00.045a324f142-8561-4525-ac02-750ac5f3e71cIncident To and Non-Incident To Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs)Incident To and Non-Incident To Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs)
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207InpatientHospitalReadmissionMA00.023bAdministrative (00)MA00.023bMA00.023bf7dd05e-47c7-4909-abba-e8f25fcac791Inpatient 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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236MagneticResonanceImaging(MRI)ContrastAgentsMA09.010cRadiology (09)MA09.010cMA09.0103d66faff-717c-4450-a977-c615f2012a22Magnetic 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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222Modifier25:Significant,SeparatelyIdentifiableEvaluationandManagementServicebytheSamePhysicianorOtherQualifiedHealthCareProfessionalontheSameDayoftheProcedureorOtherServiceMA03.003jClinical Logic (03)MA03.003jMA03.003334bbf29-8c2d-4c02-960d-d0060e39d0e0Modifier 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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201Modifier50:BilateralProcedureMA03.002mClinical Logic (03)MA03.002mMA03.0024732044b-37e9-4edf-ab74-226da2c719a7Modifier 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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200Modifier62:TwoSurgeonsMA00.011mAdministrative (00)MA00.011mMA00.0118cfcdf00-918c-407e-af3b-b9491c0bbf3eModifier 62: Two SurgeonsModifier 62: Two Surgeons
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210Modifier66:SurgicalTeamMA00.014hAdministrative (00)MA00.014hMA00.0146cd7ed45-4963-42b2-99b1-05e71a3e63ddModifier 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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199Modifiers26(ProfessionalComponent)andTC(TechnicalComponent)MA03.011jClinical Logic (03)MA03.011jMA03.01178d0294d-00c5-4143-bc06-29114112b110Modifiers 26 (Professional Component) and TC (Technical Component)Modifiers 26 (Professional Component) and TC (Technical Component)
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208ModifiersforAssistant-at-SurgeryServices:80,81,82,andASMA00.015lAdministrative (00)MA00.015lMA00.01576205973-f44d-4b60-9496-82d03b1a896eModifiers 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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217ModifiersXE,XS,XP,XU,and59MA03.005cClinical Logic (03)MA03.005cMA03.005e620572c-998f-4299-a512-24568bd07315Modifiers XE, XS, XP, XU, and 59Modifiers XE, XS, XP, XU, and 59
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41Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy ServicesMA00.050MA00.050A5AD9538B36B0D9A85258466004509F0Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy ServicesMultiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services
{"1713":{"Id":1713,"MPAttachmentLetter":"A","Title":"Multiple Reduction Always Therapy Procedure Codes","MPPolicyAttachmentInternalSourceId":0,"PolicyAttachmentPageName":"E08B4F6D7B0E162785258466004509FB"},}
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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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242MultipleSurgeryPaymentReductionMA11.032gSurgery (11)MA11.032gMA11.03214e44a56-51b8-43c2-b8d5-44832b823eb7Multiple 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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197PPONetworkRulesforProvisionofSpecialtyServicesforDurableMedicalEquipmentandLaboratory,Radiology,andPhysicalMedicineandRehabilitativeServicesMA00.010aiAdministrative (00)MA00.010aiMA00.01087e2f1ff-2d05-43e2-8894-a0adb6b215dePPO 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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203RadiologicGuidanceand/orSupervisionandInterpretationofaProcedureMA00.019jAdministrative (00)MA00.019jMA00.01911e9acd3-0cff-4029-9bfa-0bbe324eed04Radiologic Guidance and/or Supervision and Interpretation of a ProcedureRadiologic Guidance and/or Supervision and Interpretation of a Procedure
{"3731": {"Id":3731,"MPAttachmentLetter":"A","Title":"Radiologic Guidance and Supervision and Interpretation Procedure Codes","MPPolicyAttachmentInternalSourceId":6411,"PolicyAttachmentPageName":"dd02e5cb-e5c6-49fd-b80b-8496697ce84f"},}
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315ReimbursementforanIntraocularLensMA11.043aSurgery (11)MA11.043aMA11.043de6354bf-ee91-4e6b-b58a-42d22350b7a6Reimbursement 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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198ReimbursementforRadiopharmaceuticalAgentsforProfessionalProvidersMA09.009qRadiology (09)MA09.009qMA09.009594a8e98-c922-4b67-85bb-b721d4489eb2Reimbursement 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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224ReportingandDocumentationRequirementsforAnesthesiaServicesMA00.009hAdministrative (00)MA00.009hMA00.009a86bab94-a37c-4dd0-828d-1427955c4ba9Reporting and Documentation Requirements for Anesthesia ServicesReporting and Documentation Requirements for Anesthesia Services
{"3285": {"Id":3285,"MPAttachmentLetter":"A","Title":"ASA Anesthesia Procedure Codes","MPPolicyAttachmentInternalSourceId":6057,"PolicyAttachmentPageName":"c6dc9462-d428-4be9-b5e7-12cb5130fd23"},}
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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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323UseofaRobotic-AssistedSurgicalSystemMA11.057bSurgery (11)MA11.057bMA11.0570cdfcd0f-4f8f-4c85-abd8-0cfd327fe080Use of a Robotic-Assisted Surgical SystemUse of a Robotic-Assisted Surgical System
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232X-raysAssociatedwithFracturesintheOfficeSettingMA00.031eAdministrative (00)MA00.031eMA00.0312f1a7441-4106-4e9e-9a22-ad39ab0fcc65X-rays Associated with Fractures in the Office SettingX-rays Associated with Fractures in the Office Setting
{"2857": {"Id":2857,"MPAttachmentLetter":"B","Title":"Codes eligible for reimbursement when billed by Podiatrists","MPPolicyAttachmentInternalSourceId":5490,"PolicyAttachmentPageName":"d8e1536d-53ed-4b7c-89b7-4a29ea3fff42"},"2858": {"Id":2858,"MPAttachmentLetter":"A","Title":"Codes eligible for reimbursement when billed by Hand Surgeons, Orthopedic Surgeons, or Sports Medicine Specialists","MPPolicyAttachmentInternalSourceId":5491,"PolicyAttachmentPageName":"104f2d80-357e-4793-9fd3-dc437a189bbb"},}