LCD ID Number: L35163 Status: A-Approved
LCD Title: Plastic Surgery
Geographic Jurisdiction: American Samoa, Guam, Hawaii, Northern Mariana Islands Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act, §1862(a)(1)(A). Allows coverage and payment for only those services that are considered to be medically reasonable and necessary.
Title XVIII of the Social Security Act, §1833(e). Prohibits Medicare payment for any claim, which lacks the necessary information to process the claim.
Title XVIII of the Social Security Act, §1862(a)(10). Coverage of cosmetic surgery is discussed.
Medicare On-Line Manual System, Publication 100-02, Medicare Benefit Policy Manual, Chapter 16, §§10, 120, and 180.
Medicare On-Line Manual System, Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 2, §§140.2 and 140.4.
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.
03/27/2023 06:19:45 188.8.131.52