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Retired Local Coverage Determinations (LCDs), November 30, 2007

As part of the current consolidation of LCDs within National Government Services Medicare contracts, National Government Services Part A - New York will retire the Local Coverage Determinations (LCDs) listed below, effective November 30, 2007. These retired LCDs will be superseded by the consolidated LCDs listed in the last column, effective December 1, 2007.

Part A New York LCDs Being Retired 11/30/2007

LCD Number

National Government Services LCDs Superseding Part A New York LCDs - Effective 12/01/2007

Aloxi (Palenosetron Hydrochloride)

L17580

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses - L25820

Aranesp (Darbepoetin Alfa) for ESRD Use

L19140

Erythropoietin Stimulating Agents(ESA) - L25211

Beta Glucocerebrosidase and Analogues

L2206

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses - L25820

CT Colonography (Virtual Colonoscopy)

L17586

Computed Tomographic (CT) Colonography - L25233

Erythropoietin (Epoetin Alpha, EPO) for ESRD Use

L13700

Erythropoietin Stimulating Agents(ESA) - L25211

Fluorescein Angiography -

L2170

Ophthalmic Angiography (Fluorescein and Indocyanine Green) - L25347

Human Skin Equivalent

L22620

Biologic Products for Wound Treatment and Surgical Interventions - L26003

Hyaluronase Polymers

L671

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses - L25820

Magnetic Resonance Angiography

L513

Magnetic Resonance Angiography (MRA) - L25367

Sclerotherapy for Varicose Veins of the Lower Extremities with or without Doppler/Duplex Guidance

L659

Varicose Veins of the Lower Extremity, Treatment of - L25519

Zoledronic Acid

L690

Drugs and Biologicals, Coverage of, for Label and Off-Label Uses - L25820

Posted: 11/30/2007
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