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CodeMap® LCD-L34380


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LCD for Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (L34380)
See related Articles:
A56537-Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Contractor Information

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

Contractor Number: 14412

Contractor Type: MAC B

LCD Information

LCD ID Number: L34380 Status: A-Approved

LCD Title: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Geographic Jurisdiction: Rhode Island Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 09/19/2019

Revision End Date:

CMS National Coverage Policy:

· Title XVIII of the Social Security Act, Section 1862(a)(7) excludes routine physical examination and screening tests performed in the absence of signs or symptoms from coverage.

· Title XVIII of the Social Security Act, Section 1862(a)(1)(A) allows coverage and payment for services considered medically reasonable and necessary.

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

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06/26/2022 04:03:55

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