CodeMap® LCD-L34380

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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10/05/2024 08:57:13 3.237.15.145

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