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LCD ID Number: L36335 Status: A-Approved
LCD Title: MolDX: NRAS Genetic Testing
Geographic Jurisdiction: American Samoa, Guam, Hawaii, Northern Mariana Islands Other Jurisdictions
Original Determination Effective Date:
07/05/2016
Original Determination Ending Date:
Revision Effective Date:
10/07/2021
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act (SSA), §1862(a)(1)(A) states that no Medicare payment shall be made for items or services that are not reasonable and necessary
Title XVIII of the Social Security Act, §1862(a)(1)(D) Allows coverage and payment for clinical care items and services provided with the concurrence of the Secretary and with respect to research and experimentation conducted by, or under contract with, the Medicare Payment Advisory Commission or the Secretary, which are not reasonable and necessary to carry out the purposes of section
42 CFR 410.32(a) States diagnostic tests must be ordered by the physician treating the beneficiary
CMS Internet-Only Manual, Pub.100-02, Medicare Benefit Policy Manual, Chapter 15, §§ 80.6, Requirements for Ordering and Following Orders for Diagnostic Tests
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03/27/2023 06:27:09 34.232.62.64
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