LCD ID Number: L33578 Status: A-Approved
LCD Title: Transrectal Ultrasound
Geographic Jurisdiction: Illinois Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
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 §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 Publication 100-03, Medicare National Coverage Determinations Manual (NCD) Manual, Chapter 1:
220.5 Ultrasound Diagnostic ProceduresCMS Publication 100-04, Medicare Claims Processing Manual, Chapter 9:
100 General Billing RequirementsCMS Publication 100-04, Medicare Claims Processing Manual, Chapter 12:
70 Payment Conditions for Radiology Services
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06/03/2023 05:26:00 22.214.171.124