Medicare National Coverage Determinations Manual
The Medicare National Coverage Determinations Manual is a new manual that replaces the Medicare Coverage Issues Manual.
Eventually there will be two chapters. However, this issuance includes Chapter 1, which consist of four parts. In this chapter there is a description of national coverage determinations made by CMS. Chapter 2, when available, will be a listing of HCPCS codes that are related to each determination.
New instructions will be published in this manual instead of the CIM. A crosswalk from the new manual to the source manual instruction is provided, accessible below. A crosswalk from the CIM to the NCDM is also provided.
This manual is structured in the same sequence as CPT categories to provide a more logical organization than the previous manual. Where there is no national coverage determination that affects a particular CPT category the category is listed as reserved in the chapter table of contents.
| Chapter | Title | PDF File | Zipped Word File |
|---|---|---|---|
| 1 | Coverage Determinations Part 1 Sections 10 - 80.12 |
 448 KB |
115 KB |
| Part 2 Sections 90 - 160.25 |
290 KB |
85 KB | |
| Part 3 Sections 170 - 190.34 |
223 KB |
71 KB | |
| Part 4 Sections 200 - 310.1 |
259 KB |
138 KB | |
| 2 | HCPCS Codes for Services Described in National Coverage Determinations Manual (Not Yet Available) |
| Crosswalk from NCD Manual to CIM | 401 KB |
56 KB |
| Crosswalk from CIM to NCD Manual | 401 KB |
54 KB |
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