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CodeMap® LCD-L36094

 

Printer Friendly Version

L36094
LCD for Lab: Flow Cytometry (L36094)
See related Articles:
A55934-Flow Cytometry Coverage Clarification
A57690-Billing and Coding: Lab: Flow Cytometry

Contractor Information

Contractor Name: Noridian Healthcare Solutions, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 02102

Contractor Type: MAC B

LCD Information

LCD ID Number: L36094 Status: A-Approved

LCD Title: Lab: Flow Cytometry

Geographic Jurisdiction: Alaska Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 12/01/2019

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act (SSA), §1862(a)(1)(A), allows coverage and payment for only those services that are considered to be medically reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of malformed body member."

Title XVIII of the Social Security Act (SSA), §1862(a)(7) states Medicare will not cover any services or procedures associated with routine physical checkups.

42 CFR §410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.

CMS Internet-Only Manual System, Publication 100-08, Medicare Program Integrity Manual, Chapter 3, §3.4.1.3, Diagnoses Code Requirement.

CMS Internet-Only Manual System, Publication 100-08, Medicare Program Integrity Manual, Chapter 3, §3.6.2.3, Limitations of Liability Determinations

CMS Internet-Only Manual System, Publication 100-03, Medicare National Coverage Determinations, Chapter 1, Part 2, Section 110.8.1, Stem Cell Harvest and Transplantation


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04/12/2021 01:16:48 18.206.177.17


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