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January 2024
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CMS Transmittals

CodeMap® LCD-L36236


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LCD for Autonomic Function Testing (L36236)
See related Articles:
A54403-Response to Comments: Autonomic Function Testing LCD
A57024-Billing and Coding: Autonomic Function Testing

Contractor Information

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

Contractor Number: 14312

Contractor Type: MAC B

LCD Information

LCD ID Number: L36236 Status: A-Approved

LCD Title: Autonomic Function Testing

Geographic Jurisdiction: New Hampshire Other Jurisdictions

Original Determination Effective Date: 10/01/2015

Original Determination Ending Date:

Revision Effective Date: 09/12/2019

Revision End Date:

CMS National Coverage Policy:

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

Title XVIII of the Social Security Act section 1862 (a)(1)(A). This section allows coverage and payment of those services that are considered to be medically reasonable and necessary.

Title XVIII of the Social Security Act section 1862 (a)(7). This section excludes routine physical examinations and services.

CMS Manual System, Pub 100-08, Medicare Program Integrity Manual, Chapter 3, Part 3.2.3 Requesting Addition Documentation During Prepayment and Post-payment review.

42 CFR Section 410.32(a) indicates diagnostic tests are payable only when the physician who is treating the beneficiary for a specific medical problem uses the results in such treatment.

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02/23/2024 11:53:33

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