LCD ID Number: L38051 Status: A-Approved
LCD Title: MolDX: Pigmented Lesion Assay
Geographic Jurisdiction: Alabama Other Jurisdictions
Original Determination Effective Date:
02/10/2020
Original Determination Ending Date:
Revision Effective Date:
06/20/2024
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 and treatment of illness or injury or to improve the functioning of a malformed body member.
42 CFR §410.32(a) 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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