Novitas and First Coast have retired their Local Coverage Determinations (LCDs) for Hyperbaric Oxygen Therapy (HBOT). Because the National Coverage Determination (NCD) for HBOT remains in place, theoretically coverage for HBOT should not change as a result. At least for the region(s) served by Novitas, a new LCD was going to be required because there was a discrepancy between CMS policy and the LCD with regard to physician supervision of HBOT. The Novitas LCD required “direct” physician supervision and CMS recently decided to let physicians and facilities determine whether HBOT supervision was direct or “general.” I will provide more information when it is available.