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LCD ID Number: L34594 Status: A-Approved
LCD Title: Nerve Conduction Studies and Electromyography
Geographic Jurisdiction: Nebraska Other Jurisdictions
Original Determination Effective Date:
10/01/2015
Original Determination Ending Date:
Revision Effective Date:
06/01/2023
Revision End Date:
CMS National Coverage Policy:
Code of Federal Regulations:
42 CFR Section 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) who uses the results in the management of the beneficiary's specific medical problem.
Federal Register:
Federal Register Vol. 62, 59047, Supervision of Diagnostic Tests, describes the degree of physician supervision required for diagnostic tests.
CMS Publications:
CMS Publication 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 2:160.23 Sensory Nerve Conduction Threshold Tests (sNCTs)
Program Memorandum Carriers Transmittal B-01-28 Change Request 850, describes tests that may be performed by PTs with ABPTS certification
CMS Publication 100-2. Medicare Benefit Policy Manual, Chapter 15, Section 80: Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests .
Transmittal 2677 Change Request 8169 April Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB)
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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