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LCD for Nerve Conduction Studies and Electromyography (L36526)
See related Articles:
A54991-Response to Comments: Nerve Conduction Studies and Electromyography
A54992-Billing and Coding: Nerve Conduction Studies and Electromyography

Contractor Information

Contractor Name: Noridian Healthcare Solutions, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 03302

Contractor Type: MAC B

LCD Information

LCD ID Number: L36526 Status: A-Approved

LCD Title: Nerve Conduction Studies and Electromyography

Geographic Jurisdiction: North Dakota Other Jurisdictions

Original Determination Effective Date: 06/01/2016

Original Determination Ending Date:

Revision Effective Date: 12/01/2019

Revision End Date:

CMS National Coverage Policy:

Code of Federal Regulations:
42 CFR Section 410.32 indicates that diagnostic tests may only be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements) who uses the results in the management of the beneficiary's specific medical problem.

Federal Register:
Federal Register Vol. 62, 59047, Supervision of Diagnostic Tests, describes the degree of physician supervision required for diagnostic tests.

CMS Publications:
CMS Publication 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 2:160.23 Sensory Nerve Conduction Threshold Tests (sNCTs)
Program Memorandum Carriers Transmittal B-01-28 Change Request 850, describes tests that may be performed by PTs with ABPTS certification
CMS Publication 100-2. Medicare Benefit Policy Manual, Chapter 15, Section 80: Requirements for Diagnostic Tests.
Transmittal 2663 Change Request 8169 April Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB)

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07/17/2024 08:14:12

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