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Contractor Information

Contractor Name: Palmetto GBA - Full list of policies of this Medicare Contractor Contractor Number: 11502 Contractor Type: MAC B

LCD Information

LCD ID Number: L38970 Status: A-Approved LCD Title: Advance Care Planning Geographic Jurisdiction: North Carolina Other Jurisdictions Original Determination Effective Date: 12/05/2021 Original Determination Ending Date: Revision Effective Date: 11/01/2023 Revision End Date: CMS National Coverage Policy: 42 CFR §489.100 defines Advance Directives. 42 CFR §489.102 Requirements for providers 42 CFR §489.104 Effective Dates 42 CFR §419.22(t) addresses annual wellness visits providing personalized prevention plan services. 42 CFR §410.15 Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage 42 CFR §410.16 Initial preventive physical examination: Conditions for and limitations on coverage CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, §280.5.1 Advance Care Planning (ACP) Furnished as an Optional Element with an Annual Wellness Visit (AWV) upon Agreement with the Patient Title XVIII of the Social Security Act, §1834(m) addresses payment for telehealth services. Sorry, you need to login or register to view additional sections of this Medicare policy. *