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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: L39080 Status: A-Approved LCD Title: Cardiac Resynchronization Therapy (CRT) Geographic Jurisdiction: South Carolina Other Jurisdictions Original Determination Effective Date: 12/12/2021 Original Determination Ending Date: Revision Effective Date: Revision End Date: CMS National Coverage Policy: This Local Coverage Determination (LCD) supplements but does not replace, modify, or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Biventricular Pacing/Cardiac Resynchronization Therapy (CRT) or Implantable Cardiac Defibrillators. Relevant Centers for Medicare and Medicaid Services (CMS) manual instructions and policies may be found in the following Internet-Only Manuals (IOMs) published on the CMS website. Title XVIII of the Social Security Act, §1862(a)(1)(A) states that no Medicare payment shall be made for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury CMS Internet-Only Manual, Pub. 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 1, §20.4 Implantable Cardioverter Defibrillators (ICDs) and §20.8 Cardiac Pacemakers CMS Internet-Only Manual, Pub. 100-08, Medicare Program Integrity Manual, Chapter 13, §13.5.4 Reasonable and Necessary Provisions in LCDs Sorry, you need to login or register to view additional sections of this Medicare policy. *