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LCD for Measurement of Salivary Hormones (L36857)
See related Articles:
A57613-Billing and Coding: Measurement of Salivary Hormones

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: L36857 Status: A-Approved

LCD Title: Measurement of Salivary Hormones

Geographic Jurisdiction: North Dakota Other Jurisdictions

Original Determination Effective Date: 07/21/2017

Original Determination Ending Date:

Revision Effective Date: 11/01/2019

Revision End Date:

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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07/17/2024 07:59:52

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