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CodeMap® LCD-L35075

 

Printer Friendly Version

L35075
LCD for Proton Beam Therapy (L35075)
See related Articles:
A55124-Response to Comments: Proton Beam Therapy
A56827-Billing and Coding: Proton Beam Therapy

Contractor Information

Contractor Name: National Government Services, Inc. - Full list of policies of this Medicare Contractor

Contractor Number: 06302

Contractor Type: MAC B

LCD Information

LCD ID Number: L35075 Status: A-Approved

LCD Title: Proton Beam Therapy

Geographic Jurisdiction: Wisconsin Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 11/07/2019

Revision End Date:

CMS National Coverage Policy:

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.

Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider for any claim that lacks the necessary information to process the claim.


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08/05/2021 01:48:00 18.205.192.201


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