CodeMap® LCD-L36351

Contractor Information

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

Contractor Number: 01311
Contractor Type: MAC A

LCD Information

LCD ID Number: L36351 Status: A-Approved
LCD Title: Lab: Special Histochemical Stains and Immunohistochemical Stains
Geographic Jurisdiction: Nevada Other Jurisdictions
Original Determination Effective Date: 10/15/2015
Original Determination Ending Date:
Revision Effective Date: 12/24/2020
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 for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.”

42 Code of Federal Regulations (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, §80.6.5 Surgical/Cytopathology Exception

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10/11/2024 02:56:23 3.237.15.145

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