LCD and NCD in Medical Billing
LCD stands for Local Coverage Determination, and NCD stands for National Coverage Determination. Both are policies used by Medicare to determine coverage for specific medical services.
LCD and NCD in Medical Billing Explained
In medical billing, LCDs are determined by regional Medicare contractors and specify which services are covered locally. NCDs apply nationwide and set broader guidelines for Medicare coverage. Providers must adhere to these policies to ensure services are reimbursed by Medicare.
For example, a provider consults an NCD to determine if Medicare will cover a specific diagnostic test across the country.
See common acronyms and abbreviations in Medical billing glossary.
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