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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: L37630 Status: A-Approved LCD Title: In Vitro Chemosensitivity & Chemoresistance Assays Geographic Jurisdiction: Arizona Other Jurisdictions Original Determination Effective Date: 10/01/2018 Original Determination Ending Date: Revision Effective Date: 02/25/2020 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 for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Title XVIII of the Social Security Act, §1862(a)(1)(D) addresses items and services related to research and experimentation. Title XVIII of the Social Security Act, §1862(a)(7) excludes routine physical examinations. 42 CFR §410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions. CMS Internet-Only Manual, Pub 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 3, §190.7 Human Tumor Stem Cell Drug Sensitivity Assays CMS Internet-Only Manual, Pub 100-08, Medicare Program Integrity Manual, Chapter 3, §3.2.3.7  Special Provisions for Lab Additional Documentation Requests Sorry, you need to login or register to view additional sections of this Medicare policy. *