CodeMap® 

150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2021
2020 (July)

Physician Fee Schedule

2021
2020

OPPS Fee Schedule

2021-April
2021-January

ASC Fee Schedule

2021-April
2021-January

APC Codes

2021-April
2021-January

DRG Codes

2021
2020

ASP Drug Pricing Files

April 2021
January 2021


CMS Transmittals




Next Webinar 06/23/2021:
2021 Regulatory Update: Hospital Outreach Programs

CodeMap® LCD-L34596

 

Printer Friendly Version

L34596
LCD for Immunizations (L34596)
See related Articles:
A56900-Billing and Coding: Immunizations

Contractor Information

Contractor Name: Wisconsin Physicians Service Insurance Corporation - Full list of policies of this Medicare Contractor

Contractor Number: 05201

Contractor Type: MAC A

LCD Information

LCD ID Number: L34596 Status: A-Approved

LCD Title: Immunizations

Geographic Jurisdiction: Kansas Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 11/01/2019

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act section 1862 (a)(1)(A). This section allows coverage and payment of those services that are considered to be medically reasonable and necessary.

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.

CMS Pub 100-02 Medicare Benefit Policy Manual, Chapter 15 - Covered Medical and Other Health Services, Section 50.4.4.2 - Immunizations.

CMS Pub 100-02 Medicare Benefit Policy Manual, Chapter 16 - General Exclusions from Coverage, Section 90 – Routine Services and Appliances.

CMS Pub 100-04 Medicare Claims Processing Manual, Chapter 17 – Drugs and Biologicals, Section 40 – Discarded Drugs and Biologicals.

CMS Pub 100-04 Medicare Claims Processing Manual, Chapter 18 - Preventive and Screening Services, Section 1- Medicare Preventive and Screening Services and Section 10 – Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines.

CMS Transmittal No. 4292, Pub 100-04, Medicare Claims Processing Manual, Change Request #11293, May 3, 2019. Quarterly Update to the Medicare Physician Fee Schedule Database-July 2019 Update.

CMS Transmittal No, 857, effective date October 3, 2018 Change Request 10901 Local Coverage Determinations (LCDs) Implementation date January 8, 2019.

Italicized font represents CMS national language/wording copied directly from CMS Manuals or CMS Transmittals. Contractors are prohibited from changing national language/wording.


Sorry, you need to login or register to view additional sections of this Medicare policy.

--
*
All information on this web site is compiled directly from information obtained from the Center for Medicare and Medicaid Services (CMS) and from its Contractors.

CodeMap® has made every reasonable effort to ensure the accuracy of the information contained on this web site. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. CodeMap® makes no representation, warranty, or guarantee that this compilation of Medicare information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.

No part of this web page or data displayed may be redistibuted or used without the express written consent of Wheaton Partners, LLC.

06/22/2021 06:46:42 3.235.184.215


CodeMap® is a Registered Trademark of Wheaton Partners, LLC.