LCD ID Number: L38333 Status: A-Approved
LCD Title: MolDX: Blood Product Molecular Antigen Typing
Geographic Jurisdiction: Arizona Other Jurisdictions
Original Determination Effective Date:
12/06/2020
Original Determination Ending Date:
Revision Effective Date:
05/23/2024
Revision End Date:
CMS National Coverage Policy:
Title XVIII of the Social Security Act, §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, Ch. 15, §80 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests, §80.1.1 Certification Changes
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