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Corporate

Medical Policies

The following CGS home health and hospice Local Coverage Determinations (LCDs) are located on the Centers for Medicare & Medicaid Services (CMS) Medicare Coverage Database (MCD) webpage. CMS also provides the LCD Contractor Index, where providers can browse LCDs by contractor.

Note:  CGS does not include LCDs on our website.  By clicking on the LCD ID number below, you will be sent directly to the LCD on the CMS Medicare Coverage DatabaseExternal Website.

In addition to LCDs, CGS providers should review Medicare coverage guidelines using the following webpages:

ID Title Effective Date Revision Effective Date Last Updated Status HCPC/CPT code Related Policy Article(s)
L34538External Website Hospice Determining Terminal Status 10/1/2015 9/26/2019 9/16/2019 Active N/A N/A
L33942External Website Physical Therapy - Home Health 10/1/2015 9/26/2019 9/20/2019 Active Group 1:
G0151

Group 2:
95831, 95832, 95833, 95834, 95851, 95852, 97010, 97012, 97016,97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97110, 97112, 97113, 97116, 97124, 97140, 97161, 97162, 97163, 97164, 97530, 97535, 97542, 97750, 97755, 97760, 97761, 97763, G0281, G0283, G032
A57311 - Billing and Coding: Physical Therapy - Home HealthExternal Website

Updated: 05.12.20

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