CodeMap® LCD-L36362

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: L36362 Status: A-Approved
LCD Title: MolDX: Biomarkers in Cardiovascular Risk Assessment
Geographic Jurisdiction: Arizona Other Jurisdictions
Original Determination Effective Date: 06/01/2016
Original Determination Ending Date:
Revision Effective Date: 03/21/2024
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 CFR §410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.

CMS Internet Online 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 09:13:45 3.237.15.145

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