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CodeMap® LCD-L36805


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LCD for Lab: Special Histochemical Stains and Immunohistochemical Stains (L36805)
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Contractor Information

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

Contractor Number: 05101

Contractor Type: MAC A

LCD Information

LCD ID Number: L36805 Status: A-Approved

LCD Title: Lab: Special Histochemical Stains and Immunohistochemical Stains

Geographic Jurisdiction: Iowa Other Jurisdictions

Original Determination Effective Date: 02/16/2017

Original Determination Ending Date:

Revision Effective Date: 12/24/2020

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 (CFR) §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, §80.6.5 Surgical/Cytopathology Exception

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10/28/2021 05:59:07

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