National Coverage Determination - Evaluating LCDs For NCD Consideration

Evaluating LCDs For NCD Consideration

CMS is required (under the MMA) to evaluate LCDs to decide which decisions should be adopted nationally. When new LCDs are developed, a 731 Advisory Group reviews LCD topic submissions to determine which topics are forwarded to the CMS Coverage and Analysis Group (CAG).
To promote consistency across LCDs, CMS requires Medicare contractors to :

  • Consult with other contractors prior to developing a new policy
  • Adopt or adapt existing LCDs when possible

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    Evaluation is creation: hear it, you creators! Evaluating is itself the most valuable treasure of all that we value. It is only through evaluation that value exists: and without evaluation the nut of existence would be hollow. Hear it, you creators!
    Friedrich Nietzsche (1844–1900)