CodeMap® LCD-L33979

Contractor Information

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

Contractor Number: 03401
Contractor Type: MAC A

LCD Information

LCD ID Number: L33979 Status: A-Approved
LCD Title: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Geographic Jurisdiction: South Dakota Other Jurisdictions
Original Determination Effective Date: 10/01/2015
Original Determination Ending Date:
Revision Effective Date: 10/01/2019
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 medically reasonable and necessary.

Title XVIII of the Social Security Act, §1833(e). Prohibits Medicare payment for any claim, which lacks the necessary information to process the claim.

CMS Manual System, Pub. 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, §250.4.

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01/22/2025 02:22:04 18.97.9.171

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