LCD ID Number: L37210 Status: A-Approved
LCD Title: MolDX: Decision Dx-UM (Uveal Melanoma)
Geographic Jurisdiction: Michigan Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act (the “Act”), Section 1862(a)(1)(A) allows coverage and payment for only those services that are reasonable and necessary.
42 CFR. 410.32 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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