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Page Last Modified: 4/23/2009 7:10:34 AM

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Medicare Coverage Database

LCD Last Updated Report

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Carrier
DME MAC
DME PSC
DMERC
FI
MAC - Part A
MAC - Part B
RHHI

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AdminaStar Federal, Inc. (00635, DMERC)
Blue Cross and Blue Shield of Arizona (00030, FI)
Blue Cross and Blue Shield of Arkansas (00521, Carrier)
Blue Cross and Blue Shield of Arkansas (00522, Carrier)
Blue Cross and Blue Shield of Arkansas (00523, Carrier)
Blue Cross and Blue Shield of Georgia (00101, FI)
Blue Cross and Blue Shield of Montana (00250, FI)
Blue Cross and Blue Shield of Montana (00751, Carrier)
Blue Cross and Blue Shield of Nebraska (00260, FI)
Blue Cross and Blue Shield of Rhode Island (00370, FI)
Blue Cross and Blue Shield of Rhode Island (00870, Carrier)
Blue Cross and Blue Shield of Wyoming (00460, FI)
BlueCross BlueShield of Tennessee (Riverbend Government Benefits Administrator) (00390, FI)
Cahaba GBA, LLC - Alabama (00010, FI)
Cahaba GBA, LLC - Midwest (00011, RHHI)
Cahaba Government Benefit Administrators, LLC (00510, Carrier)
Cahaba Government Benefit Administrators, LLC (00511, Carrier)
Cahaba Government Benefit Administrators, LLC (00512, Carrier)
Cahaba Government Benefit Administrators, LLC (10101, MAC - Part A)
Cahaba Government Benefit Administrators, LLC (10102, MAC - Part B)
Cahaba Government Benefit Administrators, LLC (10201, MAC - Part A)
Cahaba Government Benefit Administrators, LLC (10202, MAC - Part B)
Cahaba Government Benefit Administrators, LLC (10301, MAC - Part A)
Cahaba Government Benefit Administrators, LLC (10302, MAC - Part B)
Cahaba Government Benefit Administrators,® LLC - Midwest (00012, FI)
Cahaba Government Benefit Administrators®, LLC - Midwest (00011, FI)
CareFirst Blue Cross and Blue Shield of Maryland (00190, FI)
Chisholm Administrative Services (00340, FI)
CIGNA Government Services (05130, Carrier)
CIGNA Government Services (05440, Carrier)
CIGNA Government Services (05535, Carrier)
CIGNA Government Services (05655, DMERC)
CIGNA Government Services (18003, DME MAC)
Cooperativa de Seguros de Vida de Puerto Rico (57400, FI)
Electronic Data Systems Corp. (77006, DME PSC)
First Coast Service Options, Inc. (00090, FI)
First Coast Service Options, Inc. (00590, Carrier)
First Coast Service Options, Inc. (00591, Carrier)
First Coast Service Options, Inc. (09101, MAC - Part A)
First Coast Service Options, Inc. (09102, MAC - Part B)
First Coast Service Options, Inc. (09201, MAC - Part A)
First Coast Service Options, Inc. (09202, MAC - Part B)
First Coast Service Options, Inc. (09302, MAC - Part B)
Group Health, Inc.(NY) (14330, Carrier)
HealthNow (00801, Carrier)
Highmark Medicare Services MD/Washington, DC Fiscal Intermediary (00366, FI)
Highmark Medicare Services Pennsylvania Carrier (00865, Carrier)
Highmark Medicare Services Pennsylvania Fiscal Intermediary (00363, FI)
Highmark Medicare Services, Inc. (12101, MAC - Part A)
Highmark Medicare Services, Inc. (12102, MAC - Part B)
Highmark Medicare Services, Inc. (12201, MAC - Part A)
Highmark Medicare Services, Inc. (12202, MAC - Part B)
Highmark Medicare Services, Inc. (12301, MAC - Part A)
Highmark Medicare Services, Inc. (12302, MAC - Part B)
Highmark Medicare Services, Inc. (12401, MAC - Part A)
Highmark Medicare Services, Inc. (12402, MAC - Part B)
Highmark Medicare Services, Inc. (12501, MAC - Part A)
Highmark Medicare Services, Inc. (12502, MAC - Part B)
Medicare Northwest (Regence of Blue Cross and Blue Shield of Oregon) (00350, FI)
Mutual of Omaha Insurance Company (52280, FI)
National Government Services, Inc. (00130, FI)
National Government Services, Inc. (00131, FI)
National Government Services, Inc. (00160, FI)
National Government Services, Inc. (00180, FI)
National Government Services, Inc. (00180, RHHI)
National Government Services, Inc. (00181, FI)
National Government Services, Inc. (00270, FI)
National Government Services, Inc. (00308, FI)
National Government Services, Inc. (00332, FI)
National Government Services, Inc. (00450, FI)
National Government Services, Inc. (00450, RHHI)
National Government Services, Inc. (00452, FI)
National Government Services, Inc. (00453, FI)
National Government Services, Inc. (00454, FI)
National Government Services, Inc. (00454, RHHI)
National Government Services, Inc. (00456, RHHI)
National Government Services, Inc. (00630, Carrier)
National Government Services, Inc. (00660, Carrier)
National Government Services, Inc. (00803, Carrier)
National Government Services, Inc. (00805, Carrier)
National Government Services, Inc. (13101, MAC - Part A)
National Government Services, Inc. (13102, MAC - Part B)
National Government Services, Inc. (13201, MAC - Part A)
National Government Services, Inc. (13202, MAC - Part B)
National Government Services, Inc. (13282, MAC - Part B)
National Government Services, Inc. (13292, MAC - Part B)
National Government Services, Inc. (17003, DME MAC)
NHIC, Corp. (14004, RHHI)
NHIC, Corp. (14101, MAC - Part A)
NHIC, Corp. (14102, MAC - Part B)
NHIC, Corp. (14201, MAC - Part A)
NHIC, Corp. (14202, MAC - Part B)
NHIC, Corp. (14301, MAC - Part A)
NHIC, Corp. (14302, MAC - Part B)
NHIC, Corp. (14401, MAC - Part A)
NHIC, Corp. (14402, MAC - Part B)
NHIC, Corp. (14501, MAC - Part A)
NHIC, Corp. (14502, MAC - Part B)
NHIC, Corp. (16003, DME MAC)
NHIC, Corp. (31140, Carrier)
NHIC, Corp. (31142, Carrier)
NHIC, Corp. (31143, Carrier)
NHIC, Corp. (31144, Carrier)
NHIC, Corp. (31145, Carrier)
NHIC, Corp. (31146, Carrier)
Noridian Administrative Services (00323, FI)
Noridian Administrative Services (00823, Carrier)
Noridian Administrative Services (03102, MAC - Part B)
Noridian Administrative Services (03202, MAC - Part B)
Noridian Administrative Services (03302, MAC - Part B)
Noridian Administrative Services (03402, MAC - Part B)
Noridian Administrative Services (03502, MAC - Part B)
Noridian Administrative Services (03602, MAC - Part B)
Noridian Administrative Services (19003, DME MAC)
Noridian Administrative Services, LLC (00320, FI)
Noridian Administrative Services, LLC (00322, FI)
Noridian Administrative Services, LLC (00325, FI)
Noridian Administrative Services, LLC (00820, Carrier)
Noridian Administrative Services, LLC (00821, Carrier)
Noridian Administrative Services, LLC (00824, Carrier)
Noridian Administrative Services, LLC (00825, Carrier)
Noridian Administrative Services, LLC (00826, Carrier)
Noridian Administrative Services, LLC (03101, MAC - Part A)
Noridian Administrative Services, LLC (03201, MAC - Part A)
Noridian Administrative Services, LLC (03301, MAC - Part A)
Noridian Administrative Services, LLC (03401, MAC - Part A)
Noridian Administrative Services, LLC (03501, MAC - Part A)
Noridian Administrative Services, LLC (03601, MAC - Part A)
Palmetto GBA (00380, RHHI)
Palmetto GBA (00380, FI)
Palmetto GBA (00382, FI)
Palmetto GBA (00880, Carrier)
Palmetto GBA (00883, Carrier)
Palmetto GBA (00884, Carrier)
Palmetto GBA (00885, DMERC)
Palmetto GBA (01101, MAC - Part A)
Palmetto GBA (01102, MAC - Part B)
Palmetto GBA (01192, MAC - Part B)
Palmetto GBA (01201, MAC - Part A)
Palmetto GBA (01202, MAC - Part B)
Palmetto GBA (01301, MAC - Part A)
Palmetto GBA (01302, MAC - Part B)
Pinnacle Business Solutions Inc. (00233, FI)
Pinnacle Business Solutions, Inc. - Arkansas (00020, FI)
Pinnacle Business Solutions, Inc. - Arkansas (00520, Carrier)
Pinnacle Business Solutions, Inc. - Louisiana (00528, Carrier)
Pinnacle Business Solutions, Inc. - Rhode Island (00021, FI)
Pinnacle Business Solutions, Inc. - Rhode Island (00524, Carrier)
Premera Blue Cross (00430, FI)
Regence Blue Cross and Blue Shield of Utah (00910, Carrier)
TrailBlazer Health Enterprises, LLC (00400, FI)
TrailBlazer Health Enterprises, LLC (00900, Carrier)
TrailBlazer Health Enterprises, LLC (00901, Carrier)
TrailBlazer Health Enterprises, LLC (00902, Carrier)
TrailBlazer Health Enterprises, LLC (00903, Carrier)
TrailBlazer Health Enterprises, LLC (00904, Carrier)
TrailBlazer Health Enterprises, LLC (04101, MAC - Part A)
TrailBlazer Health Enterprises, LLC (04102, MAC - Part B)
TrailBlazer Health Enterprises, LLC (04201, MAC - Part A)
TrailBlazer Health Enterprises, LLC (04202, MAC - Part B)
TrailBlazer Health Enterprises, LLC (04301, MAC - Part A)
TrailBlazer Health Enterprises, LLC (04302, MAC - Part B)
TrailBlazer Health Enterprises, LLC (04401, MAC - Part A)
TrailBlazer Health Enterprises, LLC (04402, MAC - Part B)
Tricenturion (77011, DMERC)
TriCenturion (77011, DME PSC)
Triple-S, Inc. (00973, Carrier)
Triple-S, Inc. (00974, Carrier)
TriSpan Health Services (00230, FI)
TriSpan Health Services (00242, FI)
TrustSolutions (77012, DME PSC)
Wheatlands Administrative Services, Inc. (00150, FI)
Wheatlands Administrative Services, Inc. (00650, Carrier)
Wisconsin Physicians Service Insurance Corporation (00951, Carrier)
Wisconsin Physicians Service Insurance Corporation (00952, Carrier)
Wisconsin Physicians Service Insurance Corporation (00953, Carrier)
Wisconsin Physicians Service Insurance Corporation (00954, Carrier)
Wisconsin Physicians Service Insurance Corporation (05101, MAC - Part A)
Wisconsin Physicians Service Insurance Corporation (05102, MAC - Part B)
Wisconsin Physicians Service Insurance Corporation (05201, MAC - Part A)
Wisconsin Physicians Service Insurance Corporation (05202, MAC - Part B)
Wisconsin Physicians Service Insurance Corporation (05301, MAC - Part A)
Wisconsin Physicians Service Insurance Corporation (05302, MAC - Part B)
Wisconsin Physicians Service Insurance Corporation (05392, MAC - Part B)
Wisconsin Physicians Service Insurance Corporation (05401, MAC - Part A)
Wisconsin Physicians Service Insurance Corporation (05402, MAC - Part B)
Wisconsin Physicians Service Insurance Corporation (52280, FI)

All
CMS Requirement
Coverage Change (actual change in medical parameters)
Field Value Change
HCPCS Addition/Deletion
HCPCS/ICD9 Descriptor Change
ICD9 Addition/Deletion
Maintenance (annual review with new changes, formatting, etc.)
Narrative Change
Typographical Correction
Other