CodeMap® LCD-L33802

Contractor Information

Contractor Name: Noridian Healthcare Solutions, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 19003
Contractor Type: DME MAC

LCD Information

LCD ID Number: L33802 Status: A-Approved
LCD Title: Transcutaneous Electrical Nerve Stimulators (TENS)
Geographic Jurisdiction: Alaska, American Samoa, Arizona, California - Entire State, Guam, Hawaii, Iowa, Idaho, Kansas, Missouri - Entire State, Montana, North Dakota, Nebraska, Nevada, Oregon, South Dakota, Utah, Washington, Wyoming, Northern Mariana Islands Other Jurisdictions
Original Determination Effective Date: 10/01/2015
Original Determination Ending Date:
Revision Effective Date: 01/01/2024
Revision End Date:
CMS National Coverage Policy:
CMS Manual System, Pub. 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Section 10.2, 160.7.1, 160.13, 160.27, 280.13

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07/03/2025 07:32:57 216.73.216.142

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