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LCD for Chemotherapy Drugs and their Adjuncts (L37205)
See related Articles:
A55639-Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
A55641-Response to Comments: Chemotherapy Drugs and their Adjuncts (L37205)

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: L37205 Status: A-Approved

LCD Title: Chemotherapy Drugs and their Adjuncts

Geographic Jurisdiction: Missouri - Entire State Other Jurisdictions

Original Determination Effective Date: 09/16/2017

Original Determination Ending Date:

Revision Effective Date: 11/30/2023

Revision End Date:

CMS National Coverage Policy:

Italicized font -represents CMS national NCD language/wording copied directly from CMS Manuals or CMS Transmittals.  Contractors are prohibited from changing national NCD language/wording.

CMS Pub. 100-02 Medicare Benefit Policy Manual, Chapter 15, Covered Medical and Other Health Services, Section 50, Drugs and Biologicals

CMS Pub. 100-04 Medicare Claims Processing Manual, Chapter 12, Physician/Nonphysician Practitioners, Section 30.5, Payment for Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions

CMS Pub. 100-04 Medicare Claims Processing Manual, Chapter 14, Ambulatory Surgical Centers, Section 10, General

CMS Pub. 100-04 Medicare Claims Processing Manual, Chapter 17, Drugs and Biologicals, Section 90.2, Drugs, Biologicals, and Radiopharmaceuticals

CR 9749: August 24, 2016, CPT G0498: Chemo extend IV infusion with pump

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06/12/2024 07:01:38

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