CodeMap® LCD-L34419

Contractor Information

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

Contractor Number: 11502
Contractor Type: MAC B

LCD Information

LCD ID Number: L34419 Status: A-Approved
LCD Title: Homocysteine Level, Serum
Geographic Jurisdiction: North Carolina Other Jurisdictions
Original Determination Effective Date: 10/01/2015
Original Determination Ending Date:
Revision Effective Date: 03/10/2024
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

42 CFR §410.32 indicates that diagnostic tests may only be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements)

42 CFR §411.15(k)(11) excludes routine physical examinations

42 CFR §482.24 Conditions of participation: Medical record services

CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 6, §20.4.1 Diagnostic Services Defined

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12/11/2024 01:08:28 18.97.14.89

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