CodeMap® LCD-L38033

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: L38033 Status: A-Approved
LCD Title: Cervical Disc Replacement
Geographic Jurisdiction: Georgia Other Jurisdictions
Original Determination Effective Date: 10/28/2019
Original Determination Ending Date:
Revision Effective Date: 04/27/2023
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) investigational or experimental.

CMS Internet-Only Manual, Pub. 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 2, §150.10 Lumbar Artificial Disc Replacement (LADR)

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