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Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor Contractor Number: 10111 Contractor Type: MAC A

LCD Information

LCD ID Number: L37641 Status: A-Approved LCD Title: Continuous Peripheral Nerve Blocks (CPNB) Geographic Jurisdiction: Alabama Other Jurisdictions Original Determination Effective Date: 01/29/2018 Original Determination Ending Date: Revision Effective Date: 06/23/2022 Revision End Date: CMS National Coverage Policy: Title XVIII of the Social Security Act, §1861(s)(2)(A) and (s)(2)(B) describe coverage benefits for services and supplies ‘incident to’ professional services of the physician. 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)(7) excludes routine physical examinations. CMS Internet-Only Manual, Pub.100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 1, §30.3 Acupuncture, §30.3.1 Acupuncture for Fibromyalgia, and §30.3.2 Acupuncture for Osteoarthritis. Sorry, you need to login or register to view additional sections of this Medicare policy. *