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CodeMap® LCD-L34411

 

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L34411
LCD for Blepharoplasty, Eyelid Surgery, and Brow Lift (L34411)
See related Articles:
A56503-Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift

Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor

Contractor Number: 11201

Contractor Type: MAC A

LCD Information

LCD ID Number: L34411 Status: A-Approved

LCD Title: Blepharoplasty, Eyelid Surgery, and Brow Lift

Geographic Jurisdiction: South Carolina Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 05/20/2021

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act, §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.

Title XVIII of the Social Security Act, §1862(a)(10) prohibits payment for cosmetic surgery. Procedures performed only to improve appearances without a functional benefit are not covered by Medicare.

CMS Internet-Only Manual, Pub 100-02, Medicare Benefit Policy Manual, Chapter 16, §20 Services not reasonable and necessary, §120 Cosmetic Surgery


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12/07/2022 11:46:28 3.225.221.130


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