Coverage updates

A National Coverage Determination (NCD) is a federal mandate of what Medicare covers. View the full NCD summary for each topic on the Centers for Medicare & Medicaid Services (CMS) website using the links below.

To view older NCDs, visit the CMS website Medicare Coverage Database

Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting

The Centers for Medicare & Medicaid Services (CMS) finds that coverage of percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting is reasonable and necessary…
Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting

Seat Elevation Equipment on Power Wheelchairs

Effective for services performed on or after May 16, 2023, power seat elevation equipment is reasonable and necessary for individuals using complex rehabilitative power-driven wheelchairs…
Seat Elevation Equipment on Power Wheelchairs

Colorectal Cancer Screening Tests

Effective January 1, 2023, the minimum age for FOBT, sDNA, and blood-based biomarker tests for colorectal cancer screening is reduced to 45 years and older...
National Coverage Determination, Colorectal Cancer Screening Tests

Lung Cancer Screening with Low Dose Computed Tomography (LDCT)

May 19, 2022
CMS has determined that the evidence is sufficient to cover, under Medicare Part B, a lung cancer screening counseling and shared decision-making visit, and for appropriate beneficiaries, annual screening for lung cancer with LDCT…
National Coverage Determination, Lung Cancer Screening with LDCT

Home Use of Oxygen

February 15, 2022
When used in the home, oxygen and oxygen equipment can make meaningful contributions to the treatment…
National Coverage Determination, Home Use of Oxygen

Screening for Colorectal Cancer - Blood-Based Biomarker Tests

January 19, 2021
The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is sufficient to cover a blood-based biomarker test as an appropriate colorectal cancer screening test...
Decision Memo for Screening for Colorectal Cancer - Blood-Based Biomarker Tests (CAG-00454N)

Acupuncture for Chronic Low Back Pain

January 21, 2020
The Centers for Medicare & Medicaid Services (CMS) will cover acupuncture for chronic low back pain…
Decision Memo for Acupuncture for Chronic Low Back Pain (CAG-00452N)

Ambulatory Blood Pressure Monitoring (ABPM)

July 2, 2019
The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is sufficient to cover ambulatory blood pressure monitoring (ABPM)…
Decision Memo for Ambulatory Blood Pressure Monitoring (ABPM) (CAG-00067R2)

Vagus Nerve Stimulation (VNS) for Treatment Resistant Depression (TRD)

February 15, 2019
CMS is finalizing changes to the vagus nerve stimulation (VNS) NCD (160.18) for VNS for treatment resistant depression (TRD) that will expand Medicare coverage…
Decision Memo for Vagus Nerve Stimulation (VNS) for Treatment Resistant Depression (TRD) (CAG-00313R2)

Last updated 11/02/2023
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