LCD ID Number: L39121 Status: A-Approved
LCD Title: Treatment of Varicose Veins of the Lower Extremities
Geographic Jurisdiction: Georgia Other Jurisdictions
Original Determination Effective Date:
04/03/2022
Original Determination Ending Date:
Revision Effective Date:
11/16/2023
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)(7) states Medicare will not cover any services or procedures associated with routine physical checkups.
42 CFR §411.15(k)(1) Any services that are not reasonable and necessary for 1 of the following purposes: For the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.
CMS Internet-Only Manual, Pub. 100-08, Medicare Program Integrity Manual, Chapter 13, §13.5.4 Reasonable and Necessary Provisions in LCDs
CMS Internet-Only Manual, Pub. 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 4, §220.5 Ultrasound Diagnostic Procedures
Sorry, you need to login or register to view additional sections of this Medicare policy.
*
|