LCD ID Number: L38337 Status: A-Approved
LCD Title: MolDX: Pharmacogenomics Testing
Geographic Jurisdiction: South Dakota Other Jurisdictions
Original Determination Effective Date:
08/17/2020
Original Determination Ending Date:
Revision Effective Date:
08/24/2023
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.
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 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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