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CodeMap® LCD-L35048


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LCD for Nerve Conduction Studies and Electromyography (L35048)
See related Articles:
A56619-Billing and Coding: Nerve Conduction Studies and Electromyography

Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor

Contractor Number: 11201

Contractor Type: MAC A

LCD Information

LCD ID Number: L35048 Status: A-Approved

LCD Title: Nerve Conduction Studies and Electromyography

Geographic Jurisdiction: South Carolina Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 07/15/2021

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act §1862(a)(1)(A) states that no payment shall be made for items or services which are not reasonable and necessary for the diagnosis or treatment of an illness or injury or to improve the functioning of a malformed body member.

Title XVIII of the Social Security Act §1861(r)(1) defines the term physician.

Title XVIII of the Social Security Act §1861(s)(2)(A) defines medical and other health services.

42 CFR §410.32(a) indicates that diagnostic tests must 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.

42 CFR §410.32(b)(3)(i-iii) defines supervision and the three levels of supervision.

CMS Internet-Only Manual, Pub 100-02, Medicare Benefit Policy Manual, Chapter 15, §80 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests.

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12/08/2022 12:27:16

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