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April 2024
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CMS Transmittals

CodeMap® LCD-L36037


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LCD for Urine Drug Testing (L36037)
See related Articles:
A56761-Billing and Coding: Urine Drug Testing

Contractor Information

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

Contractor Number: 13201

Contractor Type: MAC A

LCD Information

LCD ID Number: L36037 Status: R- Retired

LCD Title: Urine Drug Testing

Geographic Jurisdiction: New York - Entire State Other Jurisdictions

Original Determination Effective Date: 12/01/2015

Original Determination Ending Date: 12/23/2023

Revision Effective Date: 10/01/2019

Revision End Date: 12/23/2023

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 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.

42 CFR 410.32(a). Order diagnostic tests.

42 CFR 411.15(k)(1). Particular Services excluded from coverage.

CMS On-Line Manual, Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, §§80.0, 80.1.1, 80.2. Clinical Laboratory services.

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06/13/2024 06:50:22

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