LCD ID Number: L38973 Status: P-
LCD Title: MolDX: Next-Generation Sequencing Lab-Developed Tests for Inherited Cancer Syndromes
Geographic Jurisdiction: Montana Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
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CMS National Coverage Policy:
Title XVIII of the Social Security Act (SSA), §1862(a)(1)(A), states that no Medicare payment shall be made for items or services that are not 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 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.
CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, §80 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests, §80.1.1 Certification Changes.
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