LCD ID Number: L36521 Status: A-Approved
LCD Title: Lumbar Epidural Injections
Geographic Jurisdiction: Kansas Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
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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.
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