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Next Webinar 06/23/2021:
2021 Regulatory Update: Hospital Outreach Programs

CodeMap® LCD-L38433

 

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L38433
LCD for MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease (L38433)
See related Articles:
A57105-Billing and Coding: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease
A57106-Billing and Coding: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease
A58450-Response to Comments: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease (DL38433)

Contractor Information

Contractor Name: Wisconsin Physicians Service Insurance Corporation - Full list of policies of this Medicare Contractor

Contractor Number: 05201

Contractor Type: MAC A

LCD Information

LCD ID Number: L38433 Status: A-Approved

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

Geographic Jurisdiction: Kansas Other Jurisdictions

Original Determination Effective Date: 11/08/2020

Original Determination Ending Date:

Revision Effective Date:

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, 80.1.1, 80.2 Clinical Laboratory services.


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06/22/2021 05:57:09 3.235.184.215


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