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CodeMap® LCD-L33563

 

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L33563
LCD for Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures (L33563)
See related Articles:
A56766-Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures

Contractor Information

Contractor Name: National Government Services, Inc. - Full list of policies of this Medicare Contractor

Contractor Number: 06201

Contractor Type: MAC A

LCD Information

LCD ID Number: L33563 Status: A-Approved

LCD Title: Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures

Geographic Jurisdiction: Minnesota Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 09/12/2019

Revision End Date:

CMS National Coverage Policy: Language quoted from Centers for Medicare and Medicaid Services (CMS), National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy. NCDs and coverage provisions in interpretive manuals are not subject to the Local Coverage Determination (LCD) Review Process (42 CFR 405.860[b] and 42 CFR 426 [Subpart D]). In addition, an administrative law judge may not review an NCD. See Section 1869(f)(1)(A)(i) of the Social Security Act.

Unless otherwise specified, italicized text represents quotation from one or more of the following CMS sources:

Title XVIII of the Social Security Act (SSA):

Section 1862(a)(1)(A) excludes expenses incurred for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

Section 1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

CMS Publications:

CMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 15:

    290 Foot Care


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10/17/2021 04:41:30 3.239.50.33


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