CodeMap® LCD-L37072

Contractor Information

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

Contractor Number: 03102
Contractor Type: MAC B

LCD Information

LCD ID Number: L37072 Status: A-Approved
LCD Title: MolDX: DecisionDx-UM (Uveal Melanoma)
Geographic Jurisdiction: Arizona Other Jurisdictions
Original Determination Effective Date: 09/22/2017
Original Determination Ending Date:
Revision Effective Date: 06/30/2022
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act, §1862(a)(1)(A) allows coverage and payment for only those services that are considered to be reasonable and necessary.

42 CFR 410.32(a) 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 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests, §80.1.1 Certification Changes

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10/11/2024 03:21:21 3.237.15.145

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