Payer policy · Definition
LCD / NCD: Definition
The coverage rules that decide what Medicare pays for, nationally or within a MAC's jurisdiction.
This is a short definition only. The full explanation lives on Medicare dermatology billing, which is the page to read if you are dealing with this on live claims.
Definition
Also known as: Local and national coverage determination
LCDs are jurisdiction-specific, so the same dermatology service can be covered differently in two states.
Actinic keratosis destruction frequency and Mohs indications are the two that most affect dermatology.
For worked examples, payer rules and documentation requirements, read Medicare dermatology billing. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.