CodeMap® LCD-L38737

Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor

Contractor Number: 11202
Contractor Type: MAC B

LCD Information

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: 11/28/2021
Original Determination Ending Date:
Revision Effective Date: 07/20/2023
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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05/13/2025 08:14:55 18.97.9.173

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