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CodeMap® LCD-L38341

 

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L38341
LCD for MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease (L38341)
See related Articles:
A57236-Billing and Coding: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease
A58511-Response to Comments: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease

Contractor Information

Contractor Name: Noridian Healthcare Solutions, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 03302

Contractor Type: MAC B

LCD Information

LCD ID Number: L38341 Status: A-Approved

LCD Title: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease

Geographic Jurisdiction: North Dakota Other Jurisdictions

Original Determination Effective Date: 12/06/2020

Original Determination Ending Date:

Revision Effective Date: 02/03/2022

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 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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07/17/2024 08:07:55 44.213.60.33

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