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CodeMap® LCD-L38067

 

Printer Friendly Version

L38067
LCD for MolDX: Next-Generation Sequencing for Solid Tumors (L38067)
See related Articles:
A57870-Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors
A57876-Response to Comments: MolDX: Next-Generation Sequencing for Solid Tumors

Contractor Information

Contractor Name: CGS Administrators, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 15101

Contractor Type: MAC A

LCD Information

LCD ID Number: L38067 Status: A-Approved

LCD Title: MolDX: Next-Generation Sequencing for Solid Tumors

Geographic Jurisdiction: Kentucky Other Jurisdictions

Original Determination Effective Date: 02/10/2020

Original Determination Ending Date:

Revision Effective Date: 06/24/2021

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 Code of Federal Regulations (CFR) §410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.

CMS On-Line Manual, Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, §80.0 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests, §80.1.1 Certification Changes

CMS Internet-Only Manual, Pub 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 2, §90.2 Next-Generation Sequencing (NGS) for Patients with Advanced Cancer.

 


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08/08/2022 02:58:13 18.204.56.185


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