CodeMap® LCD-L39086

Contractor Information

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

Contractor Number: 10211
Contractor Type: MAC A

LCD Information

LCD ID Number: L39086 Status: A-Approved
LCD Title: Treatment of Males with Low Testosterone
Geographic Jurisdiction: Georgia Other Jurisdictions
Original Determination Effective Date: 02/13/2022
Original Determination Ending Date:
Revision Effective Date: 05/05/2022
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

Title XVIII of the Social Security Act, §1862(a)(1)(D) addresses services that are determined to be investigational or experimental

42 Code of Federal Regulations (CFR) §410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions

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12/10/2024 06:19:21 18.97.14.84

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