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LCD ID Number: L34977 Status: R- Retired
LCD Title: Anorectal Manometry, Anal Electromyography, and Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters
Geographic Jurisdiction: Oklahoma Other Jurisdictions
Original Determination Effective Date:
10/01/2015
Original Determination Ending Date:
04/06/2023
Revision Effective Date:
04/30/2020
Revision End Date: 04/06/2023
CMS National Coverage Policy:
This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for anorectal manometry, anal electromyography, and biofeedback training for perineal muscles and anorectal or urethral sphincters. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy. They are not repeated in this LCD. Neither Medicare payment policy rules nor this LCD replace, modify or supersede applicable state statutes regarding medical practice or other health practice professions acts, definitions and/or scopes of practice. All providers who report services for Medicare payment must fully understand and follow all existing laws, regulations and rules for Medicare payment for anorectal manometry, anal electromyography, and biofeedback training for perineal muscles and anorectal or urethral sphincters and must properly submit only valid claims for them. Please review and understand them and apply the medical necessity provisions in the policy within the context of the manual rules. Relevant CMS manual instructions and policies may be found in the following Internet-Only Manuals (IOMs) published on the CMS Web site:
IOM Citations:
- CMS IOM Publication 100-03, Medicare National Coverage Determinations (NCD) Manual,
- Chapter 1, Part 1, Section 30.1 Biofeedback Therapy and
- Chapter 1, Part 1, Section 30.1.1 Biofeedback Therapy for the Treatment of Urinary Incontinence.
- CMS IOM Publication 100-08, Medicare Program Integrity Manual,
- Chapter 13, Section 13.5.4 Reasonable and Necessary Provision in an LCD.
Social Security Act (Title XVIII) Standard References:
- Title XVIII of the Social Security Act, Section 1862(a)(1)(A) states that no Medicare payment shall be made for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury.
- Title XVIII of the Social Security Act, Section 1862(a)(7). This section excludes routine physical examinations.
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06/07/2023 01:19:23 3.235.40.122
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