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For Questions regarding reimbursement related to Apligraf® please call the Reimbursement Support Center (1-888-Heal-2-DAY), Option 3.

Click the state on the map to find state specific coding and coverage guidelines where it is available. Select Medicare LCD Summary Part A or Medicare LCD Summary Part B.

• For facilities billing Wisconsin Physician Services, Formerly Mutual of Omaha click here

Alabama

Part A LCD for Apligraf		Part B LCD for Apligraf
Cahaba		Cahaba

 

 

Alaska

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

Arizona

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

Arkansas

Part A LCD for Apligraf		Part B LCD for Apligraf
Pinnacle		Pinnacle

 

 

California

Part A LCD for Apligraf		Part B LCD for Apligraf
Palmetto		Palmetto

 

 

Colorado

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Connecticut

Part A LCD for Apligraf		Part B LCD for Apligraf
National Government Services		National Government Services

 

 

Delaware

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

District of Columbia

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Florida

Part A LCD for Apligraf		Part B LCD for Apligraf
First Coast		First Coast

 

 

Georgia

Part A LCD for Apligraf		Part B LCD for Apligraf
Cahaba		Cahaba

 

 

Hawaii

Part A LCD for Apligraf		Part B LCD for Apligraf
Palmetto		Palmetto

 

 

Idaho

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Cigna

 

 

Illinois

Part A LCD for Apligraf		Part B LCD for Apligraf
National Government Services		Wisconsin Physician Services

 

 

Indiana

Part A LCD for Apligraf		Part B LCD for Apligraf
National Government Services		National Government Services

 

 

Iowa

Part A LCD for Apligraf		Part B LCD for Apligraf
Wisconsin Physician Services		Wisconsin Physician Services

 

 

Kansas

Part A LCD for Apligraf		Part B LCD for Apligraf
Wisconsin Physician Services		Wisconsin Physician Services

 

 

Kentucky

Part A LCD for Apligraf		Part B LCD for Apligraf
Cigna MAC		Cigna MAC

 

 

Louisiana

Part A LCD for Apligraf		Part B LCD for Apligraf
Pinnacle		Pinnacle

 

 

Maine

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Maryland

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Massachusetts

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Michigan

Part A LCD for Apligraf		Part B LCD for Apligraf
National Government Services		Wisconsin Physician Services

 

 

Minnesota

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Wisconsin Physician Services

 

 

Mississippi

Part A LCD for Apligraf		Part B LCD for Apligraf
Pinnacle		Cahaba

 

 

Missouri

Part A LCD for Apligraf		Part B LCD for Apligraf
Wisconsin Physician Services		Wisconsin Physician Services

 

 

Montana

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

Nebraska

Part A LCD for Apligraf		Part B LCD for Apligraf
Wisconsin Physician Services		Wisconsin Physician Services

 

 

Nevada

Part A LCD for Apligraf		Part B LCD for Apligraf
Palmetto		Palmetto

 

 

New Hampshire

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

New Jersey

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

New Mexico

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

New York

Part A LCD for Apligraf		Part B LCD for Apligraf
National Government Services		National Government Services

 

 

North Carolina

Part A LCD for Apligraf		Part B LCD for Apligraf
Palmetto		Palmetto

 

 

North Dakota

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

Ohio

Part A LCD for Apligraf		Part B LCD for Apligraf
Cigna MAC		Cigna MAC

 

 

Oklahoma

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Oregon

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

Pennsylvania

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Puerto Rico

Part A LCD for Apligraf		Part B LCD for Apligraf
First Coast		First Coast

 

 

Rhode Island

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

South Carolina

Part A LCD for Apligraf		Part B LCD for Apligraf
Palmetto		Palmetto

 

 

South Dakota

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

Tennessee

Part A LCD for Apligraf		Part B LCD for Apligraf
Cahaba		Cahaba

 

 

Texas

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Utah

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

Vermont

Part A LCD for Apligraf		Part B LCD for Apligraf

 

 

Virginia

Part A LCD for Apligraf		Part B LCD for Apligraf
Palmetto		Palmetto

 

 

Virgin Islands

Part A LCD for Apligraf		Part B LCD for Apligraf
First Coast		First Coast

 

 

Washington

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

 

West Virginia

Part A LCD for Apligraf		Part B LCD for Apligraf
Palmetto		Palmetto

 

 

Wisconsin

Part A LCD for Apligraf		Part B LCD for Apligraf
National Government Services		Wisconsin Physician Services

 

 

Wyoming

Part A LCD for Apligraf		Part B LCD for Apligraf
Noridian		Noridian

 

1American Medical Association, CPT Changes 2007-An Insider’s View, pg. 27

Disclaimer: The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.