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LCD ID Number: L34552 Status: A-Approved
LCD Title: Outpatient Observation Bed/Room Services
Geographic Jurisdiction: Alabama Other Jurisdictions
Original Determination Effective Date:
10/01/2015
Original Determination Ending Date:
Revision Effective Date:
10/31/2019
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act, §1862(a)(1)(A) allows coverage and payment for only those services that are considered to be 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)(7) excludes routine physical examinations.
eCFR Title 42 Chapter IV Subchapter B Part 419
CMS Internet-Only Manual, Pub 100-02, Medicare Benefit Policy Manual, Chapter 6, §20.6
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