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CodeMap® LCD-L37643


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LCD for Routine Foot Care (L37643)
See related Articles:
A56680-Billing and Coding: Routine Foot Care

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)

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09/29/2023 04:42:57

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