LCD ID Number: L36523 Status: A-Approved
LCD Title: MolDX: Biomarkers in Cardiovascular Risk Assessment
Geographic Jurisdiction: Iowa Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
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 (eCFR) §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 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests
Medicare Claims Processing Manual, Pub 100-04, Chapter 18, §100: Preventive and Screening Services, Cardiovascular Disease Screening.
Medicare National Coverage Determinations (NCD) Manual, Pub 100-03, Chapter 1, §190.23: Lipid Testing.
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12/01/2022 02:52:00 18.104.22.168