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Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor Contractor Number: 11201 Contractor Type: MAC A

LCD Information

LCD ID Number: L37643 Status: A-Approved LCD Title: Routine Foot Care Geographic Jurisdiction: South Carolina Other Jurisdictions Original Determination Effective Date: 01/29/2018 Original Determination Ending Date: Revision Effective Date: 12/05/2019 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)(13)(C) defines the exclusion for payment of routine foot care. 42 CFR Section 411.15 (l) Particular services excluded from coverage. CMS Internet- Only Manual, Pub 100-02, Medicare Benefit Policy Manual, Chapter 15, §290 Foot Care CMS Internet- Only Manual, Pub 100-03, Medicare National Coverage Determination Manual, Chapter 1, §70.2.1 Services Provided for the Diagnosis and Treatment of Diabetic Peripheral Neuropathy with Loss of Protective Sensation (aka Diabetic Peripheral Neuropathy) Sorry, you need to login or register to view additional sections of this Medicare policy. *