Anonymous guidance tool powered by the public CMS Medicare Coverage Database (NCD/LCD). Not medical, coverage, or legal advice.
What this feature is
- Search public CMS coverage determinations (NCD/LCD) by keyword.
- Open a document to see a practical “Insights” layer and checklist (coverage-neutral).
- Verify by opening the official CMS source links.
Intended to reduce “what do I ask next?” friction. It does not confirm coverage and does not replace provider guidance.
NCD vs LCD — what do these terms mean?
NCD (National Coverage Determination)
National-level policy describing when Medicare may cover a service/test/item. Typically more standardized.
LCD (Local Coverage Determination)
Local policy created by Medicare Administrative Contractors (MACs). Can vary by contractor/region and may include specific documentation workflows.
How to choose:
• Start with NCD if you want the most general national policy language.
• Use LCD when local contractor rules may matter, or when a provider references an LCD number/version.
Glossary
MAC: Medicare Administrative Contractor (regional contractor that processes claims and can publish LCDs).
ID: CMS document identifier (NCD ID or LCD ID).
Version: Revision number for the document used by CMS.
Updated: Date shown in the CMS report list for the latest update.
Results
Enter a keyword and click Search to view results.
Disclaimer: Informational guidance only. This module does not confirm coverage and does not provide medical advice.
Coverage decisions vary by plan, contractor (for LCDs), documentation, and individual circumstances.