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Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor Contractor Number: 10211 Contractor Type: MAC A

LCD Information

LCD ID Number: L38026 Status: A-Approved LCD Title: Corneal Hysteresis Geographic Jurisdiction: Georgia Other Jurisdictions Original Determination Effective Date: 10/21/2019 Original Determination Ending Date: Revision Effective Date: 04/18/2024 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 services that are determined to be investigational or experimental. Title XVIII of the Social Security Act §1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim. CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 16, §10 General Exclusions from Coverage CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 23, §30 Services Paid Under the Medicare Physician’s Fee Schedule CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 30, §50 Advance Beneficiary Notice of Non-coverage (ABN) Sorry, you need to login or register to view additional sections of this Medicare policy. *