CMS Coverage Guidelines

Medicare Coverage Determinations

Local Coverage Determinations

An LCD is a decision by a local Medicare contractor whether to cover a particular service, deemed reasonable and necessary, on a local basis. LCDs are specific to the local contractor's geographical coverage area and apply only to beneficiaries within that area.

National Coverage Determinations

The Centers for Medicare and Medicaid Services (CMS) publishes national coverage determinations (NCDs) to specify the extent to which Medicare will cover specific services, procedures, or technologies on a national basis. Local Medicare contractors (ie, fiscal intermediaries and carriers) are required to follow these NCDs where they exist. Where they do not exist, it is up to the Medicare contractor to make local coverage determinations (LCDs).

Follow the links below to find CMS coverage guidelines for therapies and devices offered by Boston Scientific. You can also search for both national and local coverage determinations on the CMS website.