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LCD ID Number: L33584 Status: A-Approved
LCD Title: Implantable Miniature Telescope (IMT)
Geographic Jurisdiction: Illinois Other Jurisdictions
Original Determination Effective Date:
10/01/2015
Original Determination Ending Date:
Revision Effective Date:
10/10/2019
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 Transmittal No. 2479, Publication 100-04, Medicare Claims Processing Manual, Change Request #7854, May 25, 2012, provides billing instructions for HCPCS codes C1840 and 0308T and the deletion of HCPCS code C9732 under the Ambulatory Surgery Center (ASC) Payment System.
CMS Transmittal No. 2481, Publication 100-04, Medicare Claims Processing Manual, Change Request #7844, June 1, 2012 includes CPT code 0308T for an insertion of an ocular telescope prosthesis including removal of crystalline lens which is effective for service performed on or after July 1, 2012.
CMS Transmittal No. 2483, Publication 100-04, Medicare Claims Processing Manual, Change Request #7847, June 8, 2012, provides billing instructions for HCPCS codes C1840 and 0308T and the deletion of HCPCS code C9732 under the Hospital Outpatient Prospective Payment System (OPPS).
CMS Transmittal No. 2378, Publication 100-04, Medicare Claims Processing Manual, Change Request #7682, December 29, 2011, provides billing instructions for HCPCS codes C1840 and C9732 under the Ambulatory Surgery Center (ASC) Payment System.
CMS Transmittal No. 2376, Publication 100-04, Medicare Claims Processing Manual, Change Request #7672, December 29, 2011, provides billing instructions for HCPCS codes C1840 and C9732 under the Hospital Outpatient Prospective Payment System (OPPS).
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06/07/2023 01:01:04 3.235.40.122
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