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CodeMap® LCD-L38441

 

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L38441
LCD for MolDX: Blood Product Molecular Antigen Typing (L38441)
See related Articles:
A57109-Billing and Coding: MolDX Erythrocyte Molecular Antigen Typing
A57110-Billing and Coding: MolDX: Blood Product Molecular Antigen Typing
A58431-Response to Comments: MolDX: Blood Product Molecular Antigen Typing (L38441)

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: L38441 Status: A-Approved

LCD Title: MolDX: Blood Product Molecular Antigen Typing

Geographic Jurisdiction: Kansas Other Jurisdictions

Original Determination Effective Date: 10/25/2020

Original Determination Ending Date:

Revision Effective Date: 12/31/2020

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 Code of Federal Regulations (CFR) 410.32(a). 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”


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06/22/2021 06:15:59 3.235.184.215


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