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Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor Contractor Number: 10111 Contractor Type: MAC A

LCD Information

LCD ID Number: L34419 Status: A-Approved LCD Title: Homocysteine Level, Serum Geographic Jurisdiction: Alabama 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 Sorry, you need to login or register to view additional sections of this Medicare policy. *