LCD ID Number: L38737 Status: A-Approved
LCD Title: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Geographic Jurisdiction: South Carolina 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, §1862(a)(1)(A) allows coverage and payment for only those services that are considered to be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.
42 CFR §410.32(a) Ordering Diagnostic Tests
42 CFR §411.15(k)(1) Particular services excluded from coverage
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