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CMS Transmittals

CodeMap® LCD-L38667


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LCD for Computed Tomography Cerebral Perfusion Analysis (CTP) (L38667)
See related Articles:
A58152-Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP)
A58327-Response to Comments: Computed Tomography Cerebral Perfusion Analysis (CTP)

Contractor Information

Contractor Name: National Government Services, Inc. - Full list of policies of this Medicare Contractor

Contractor Number: 06201

Contractor Type: MAC A

LCD Information

LCD ID Number: L38667 Status: A-Approved

LCD Title: Computed Tomography Cerebral Perfusion Analysis (CTP)

Geographic Jurisdiction: Minnesota Other Jurisdictions

Original Determination Effective Date: 11/01/2020

Original Determination Ending Date:

Revision Effective Date:

Revision End Date:

CMS National Coverage Policy:

Title XVIII of the Social Security Act (SSA):

Section 1862(a)(1)(A) excludes expenses incurred for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

Section 1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

Section 1862 (a)(7) excludes routine physical examinations.

CMS Publications:

CMS Publication 100-3, National Coverage Determination Manual, Chapter 1
220.1 Computerized Tomography

CMS Publication 100-4, Medicare Claims Processing Manual, Chapter 13
20 Payment Conditions for Radiology Services

CMS Publication 100-9, Contractor Beneficiary and Provider Communication Manual, Chapter 5
20 Correct Coding Initiative

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06/12/2024 08:40:33

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