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CodeMap® LCD-L39121

 

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L39121
LCD for Treatment of Varicose Veins of the Lower Extremities (L39121)
See related Articles:
A58876-Billing and Coding: Treatment of Varicose Veins of the Lower Extremities
A59001-Response to Comments: Treatment of Varicose Veins of the Lower Extremities

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: 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


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12/10/2024 07:20:48 18.97.14.84

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