Medicare Program Integrity Manual (Pub. 100-08), Ch. 13 § 13.3
LCD Reconsideration Process
13.3 - LCD Reconsideration Process
(Rev. 863; Issued: 02-12-19; Effective: 10-03-18; Implementation: 01-08-19)
The LCD reconsideration process is a mechanism by which a beneficiary or stakeholder
(including a medical professional society or physician) in the MAC’s jurisdiction can request a
revision to an LCD. The LCD reconsideration process differs from an initial request for an LCD
in that it is available only for final effective LCDs. The whole LCD or any provision of the LCD
may be reconsidered. In addition, MACs have the discretion to revise or retire their LCDs at
any time on their own initiative.