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CodeMap® LCD-L37822

 

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L37822
LCD for MolDX: Breast Cancer Index® (BCI) Gene Expression Test (L37822)
See related Articles:
A57773-Billing and Coding: MolDX: Breast Cancer Index® (BCI) Gene Expression Test
A58669-Response to Comments: MolDX: Breast Cancer Index® (BCI) Gene Expression Test

Contractor Information

Contractor Name: Noridian Healthcare Solutions, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 01311

Contractor Type: MAC A

LCD Information

LCD ID Number: L37822 Status: A-Approved

LCD Title: MolDX: Breast Cancer Index® (BCI) Gene Expression Test

Geographic Jurisdiction: Nevada Other Jurisdictions

Original Determination Effective Date: 04/16/2019

Original Determination Ending Date:

Revision Effective Date: 10/28/2021

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act (SSA), §1862(a)(1)(A), states that no Medicare payment shall be made for items or services that are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

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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11/13/2024 03:44:09 44.210.149.218

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