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CodeMap® LCD-L33445

 

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L33445
LCD for Removal of Benign and Malignant Skin Lesions (L33445)
See related Articles:
A56346-Billing and Coding: Removal of Benign and Malignant Skin Lesions

Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor

Contractor Number: 11201

Contractor Type: MAC A

LCD Information

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: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 10/24/2019

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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12/07/2022 11:17:20 3.225.221.130


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