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CodeMap® LCD-L39232

 

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L39232
LCD for MolDX: Plasma-Based Genomic Profiling in Solid Tumors (L39232)
See related Articles:
A58975-Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors
A59279-Response to Comments: MolDX: Plasma-Based Genomic Profiling in Solid Tumors

Contractor Information

Contractor Name: Noridian Healthcare Solutions, LLC - Full list of policies of this Medicare Contractor

Contractor Number: 03401

Contractor Type: MAC A

LCD Information

LCD ID Number: L39232 Status: A-Approved

LCD Title: MolDX: Plasma-Based Genomic Profiling in Solid Tumors

Geographic Jurisdiction: South Dakota Other Jurisdictions

Original Determination Effective Date: 12/26/2022

Original Determination Ending Date:

Revision Effective Date:

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.

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

CMS Internet-Only Manual, Pub. 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 2, §90.2 Next-Generation Sequencing (NGS) for Patients with Advanced Cancer.

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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02/08/2023 08:37:02 44.211.239.1


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