LCD ID Number: L38769 Status: A-Approved
LCD Title: Computed Tomography Cerebral Perfusion Analysis (CTP)
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 (SSA), §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.
Title XVIII of the Social Security Act (SSA) §1862(a)(7) excludes routine physical examinations.
CMS Internet-Only Manual, Pub 100-03, National Coverage Determination Manual, Chapter 1, §220.1 Computerized Tomography
CMS Internet-Only Manual, Pub 100-04, Medicare Claims Processing Manual, Chapter 13, §20 Payment Conditions for Radiology Services
CMS Internet-Only Manual, Pub 100-09, Contractor Beneficiary and Provider Communication Manual, Chapter 5, §20 Correct Coding initiative
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