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National Coverage Decisions: Effective Nov 23, 2002
CMS has published the final rule regarding coverage and administrative policies for clinical diagnostic laboratory services under Medicare. Similar to the locally administered LMRP's, an NCD is a national policy statement granting, limiting or excluding Medicare coverage for that test. It states CMS's policy with respect to the circumstances under which the test(s) will be considered reasonable and necessary, and not screening or otherwise not covered for Medicare
purposes. The laboratory will comply with these rules.

Use the following websites to review the coverage policies for laboratory tests.

LCD's (Administar's Local Coverage Decisions)

  • visit www.ngsmedicare.com (link will open in new window)
  • Review of Part A and Part B LCD's is required.
  • Part A - Click on Intermediary, then Medical Policy and select from list
  • Part B - Click on Carrier, then Medical Policy and select from list

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