LCD ID Number: L36857 Status: A-Approved
LCD Title: Measurement of Salivary Hormones
Geographic Jurisdiction: Montana Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
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CMS National Coverage Policy:
Code of Federal Regulations:
42 CFR Sections 410.32(a) & 410.32(a)(3) require that clinical laboratory services be ordered and used promptly by the physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements) who is treating the beneficiary.
42CFR411.15 excludes from coverage examinations performed for a purpose other than treatment or diagnosis of a specific illness, symptoms, complaint, or injury with specific legislative enactments as the only exceptions.
CMS Manual System, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 6, §§20.4.4 and 20.4.5.
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