The Six Weeks Your Coverage Database Isn't Showing You
The Medicare Coverage Database has published nothing for ten days, and behind the silence 75 local coverage documents are already final with effective dates between Sunday and November 1. Four of them are new multi-jurisdiction LCDs whose comment periods closed weeks ago: allergy testing gets a hard cap at 70 percutaneous tests, peripheral nerve injections lose sedation, and MolDX draws two new lines on genetic panels.
The Medicare Coverage Database has not published anything in ten days.
Across all 969 final LCD rows and 2,214 article rows in this morning's download, the newest revision date anywhere is September 11.
The Thursday September 17 build never appeared. Neither did anything since.
The database is quiet. The policy is not.
Pull those same two files, ignore the revision dates entirely, and sort on the effective date instead. Seventy-five local coverage documents are sitting in there already final, already through notice, with effective dates between this Sunday and November 1 (chart below).
Eighteen of them are LCDs. Four are brand new policies with no prior version, landing in five jurisdictions at once.
"What takes effect next?"
The MCD has no answer to that question. Every report it publishes sorts by the day a document was touched, never by the day it starts binding claims.
The view above is arithmetic over the download files.
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