CodeMap® 

150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2021
2020 (July)

Physician Fee Schedule

2021
2020

OPPS Fee Schedule

2021-April
2021-January

ASC Fee Schedule

2021-April
2021-January

APC Codes

2021-April
2021-January

DRG Codes

2021
2020

ASP Drug Pricing Files

April 2021
January 2021


CMS Transmittals




Next Webinar 06/23/2021:
2021 Regulatory Update: Hospital Outreach Programs

CodeMap® LCD-L36521

 

Printer Friendly Version

L36521
LCD for Lumbar Epidural Injections (L36521)
See related Articles:
A55002-Response to Comments: Lumbar Epidural Injections L36521
A57555-Billing and Coding: Lumbar Epidural Injections

Contractor Information

Contractor Name: Wisconsin Physicians Service Insurance Corporation - Full list of policies of this Medicare Contractor

Contractor Number: 05201

Contractor Type: MAC A

LCD Information

LCD ID Number: L36521 Status: A-Approved

LCD Title: Lumbar Epidural Injections

Geographic Jurisdiction: Kansas Other Jurisdictions

Original Determination Effective Date: 06/16/2016

Original Determination Ending Date:

Revision Effective Date: 11/01/2019

Revision End Date:

CMS National Coverage Policy:

When the documentation does not meet the criteria for the service rendered, or the documentation does not establish the medical necessity for the services, such services will be denied as not reasonable and necessary under Section 1862(a)(1) of the Social Security Act.

CMS Pub 100-03 Medicare National Coverage Determinations (NCD) Manual Chapter 1 – Coverage Determinations, Part 4 Section 280.14 – Infusion Pumps

CMS Pub 100-08 Medicare Program Integrity Manual, Chapter 13 – Local Coverage Determinations, Section 13.5.4 Reasonable and Necessary Provisions in LCDs

Italicized font -represents CMS national language/wording copied directly from CMS Manuals or CMS Transmittals. Contractors are prohibited from changing national language/wording.


Sorry, you need to login or register to view additional sections of this Medicare policy.

--
*
All information on this web site is compiled directly from information obtained from the Center for Medicare and Medicaid Services (CMS) and from its Contractors.

CodeMap® has made every reasonable effort to ensure the accuracy of the information contained on this web site. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. CodeMap® makes no representation, warranty, or guarantee that this compilation of Medicare information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.

No part of this web page or data displayed may be redistibuted or used without the express written consent of Wheaton Partners, LLC.

06/22/2021 06:20:20 3.235.184.215


CodeMap® is a Registered Trademark of Wheaton Partners, LLC.