CMS Publication 100-08, Medicare Program Integrity Manual, Chapter 13, Section 13.2.4- Proposed LCD.Ĭoverage Indications, Limitations, and/or Medical Necessity.CMS Publication 100-08, Medicare Program Integrity Manual, Chapter 13, Sect.13.5.4 Reasonable and necessary provisions in LCDs & 13.5.3 Evidentiary Content.CMS Publication 100-04 Claims Processing Manual, Chapter 32, Section 68 Investigational Device Exemptions (IDE) Studies, and Section 330 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS).CMS Publication 100-04, Medicare Benefit Policy Manual, Chapter 23- Fee Schedule Administration and Coding Requirements, Section 30 Services paid under the Medicare Physicians Fee Schedule.CMS Publication 100-03 Medicare Benefit Policy Manual, Chapter 1, Part 2, Section 150.13 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) and Part 4, Section 310 Clinical Trials.CMS Publication 100-03 Medicare Benefit Policy Manual, Chapter 1, Part 1, Section 20.4 Implantable Automatic Defibrillators.CMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 14- Medical Devices, Section 10, Coverage of Medical Devices.Section 1862(a) (1) (D) refers to limitations on items or devices that are investigational or experimental.
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