LCD ID Number: L34536 Status: A-Approved
LCD Title: Treatment of Varicose Veins of the Lower Extremities
Geographic Jurisdiction: Kansas Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act section 1862(a) (1) (A). This section excludes coverage and payment for items and services that are not considered reasonable and necessary for the diagnosis and treatment of illness or injury or to improve the function of a malformed body member.
Title XVIII of the Social Security Act section §1862 (a) (10) Cosmetic surgery is excluded from coverage.
Title XVIII of the Social Security Act section 1862 (a) (7). This section excludes routine physical examinations and services.
Title XVIII of the Social Security Act section 1833 (e). This section prohibits Medicare payment for any claim which lacks the necessary information to process the claim.
Change Request 10901, Local Coverage Determinations (LCDs)
CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 13, Section 13.5.4 - Reasonable and Necessary Provisions in an LCD.
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