LCD ID Number: L38667 Status: A-Approved
LCD Title: Computed Tomography Cerebral Perfusion Analysis (CTP)
Geographic Jurisdiction: Rhode Island Other Jurisdictions
Original Determination Effective Date:
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 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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06/26/2022 04:11:58 184.108.40.206