LCD ID Number: L33445 Status: A-Approved
LCD Title: Removal of Benign and Malignant Skin Lesions
Geographic Jurisdiction: South Carolina Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act, §1862(a)(1)A) allows coverage and payment for only those services that are considered to be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.
Title XVIII of the Social Security Act §1862(a)(10) excludes Medicare coverage for cosmetic surgery, except as required for the prompt repair of accidental injury or for improvement of the functioning of a malformed body member.
42 CFR 411.15(h) services excluded from coverage-cosmetic surgery and related services
CMS Internet-Only Manual, Pub 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, §250.4 Treatment of Actinic Keratosis
CMS Internet-Only Manual, Pub 100-02, Medicare Benefit Policy Manual, Chapter 16, §120 Cosmetic Surgery
CMS Internet-Only Manual, Pub 100-02, Medicare Benefit Policy Manual, Chapter 15, §60.1 Incident to Physician’s Professional Services
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