CodeMap® LCD-L36464

Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor

Contractor Number: 11502
Contractor Type: MAC B

LCD Information

LCD ID Number: L36464 Status: A-Approved
LCD Title: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
Geographic Jurisdiction: North Carolina Other Jurisdictions
Original Determination Effective Date: 02/15/2016
Original Determination Ending Date:
Revision Effective Date: 08/24/2023
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.”

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

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

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12/10/2024 06:21:20 18.97.14.84

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