CodeMap® LCD-L36192

Contractor Information

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

Contractor Number: 03102
Contractor Type: MAC B

LCD Information

LCD ID Number: L36192 Status: A-Approved
LCD Title: MolDX: MGMT Promoter Methylation Analysis
Geographic Jurisdiction: Arizona Other Jurisdictions
Original Determination Effective Date: 04/15/2016
Original Determination Ending Date:
Revision Effective Date: 10/14/2021
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 reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

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

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, §80.1.1 Certification Changes

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10/05/2024 09:15:27 3.237.15.145

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