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CodeMap® LCD-L37003


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LCD for MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (L37003)
See related Articles:
A55536-Response to Comments: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (DL37003).
A57575-Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy

Contractor Information

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

Contractor Number: 05301

Contractor Type: MAC A

LCD Information

LCD ID Number: L37003 Status: A-Approved

LCD Title: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy

Geographic Jurisdiction: Missouri - Entire State Other Jurisdictions

Original Determination Effective Date: 07/17/2017

Original Determination Ending Date:

Revision Effective Date: 08/24/2023

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.”

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, §80.1.1 Certification Changes

42 CFR §410.32(a) Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.

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05/24/2024 08:52:50

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