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Viral quantification may be appropriate for prognostic use including baseline determination, periodic monitoring, and monitoring of response to therapy. QP-l8{4Wv2n}8KTQQc=x)s _['m>(LQQn(J0qc' }C/h:Lb5D)aLG(PelTBiNgq _D:w@8;McOZ These are developed and published by CMS and apply to all states. Please click here to see all U.S. Government Rights Provisions. Downloads. recipient email address(es) you enter. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). In order for any item to be covered by the DME MAC, it must fall into one of the benefit categories defined below. No fee schedules, basic unit, relative values or related listings are included in CDT. PDF CMS Manual System This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. April 2021 (PDF) (ICD-10) lock UnitedHealthcare Medicare Advantage Coverage Summary Approved 10/05/2022 . 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National Coverage Determination (NCD) NCDs are developed by CMS to describe the circumstances for Medicare coverage nationwide for a specific medical service procedure or device. -m#h8ry7_ &y+%~)cM\wW[=7; 1v)E$kkN`\::ULd$ro~y'Y%Jt2&i-`Q. Nucleic acid quantification techniques are representative of rapidly emerging and evolving new technologies. 100-03, NCD Manual as a result of an NCD removal process through rulemaking in the Calendar Year 2021 Medicare Physician Fee Schedule (85 FR 84472, December 28, 2020). <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> October 2018 You can use the Contents side panel to help navigate the various sections. /V[DNlEeekCef41Vo8K!rB_*?ET'/PV~qvl'|D7\ 8h(1zFb?SkQ!OBC+9T+gr~ ]J$-a$r`Cq K_`v1A G$h q$N2>(F x 'g A#o jj;mk5hz^=(?ljfqP@+@{,(B. <> 1453 0 obj <> endobj 07/2002 - Implemented NCD. 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HIV quantification is achieved through the use of a number of different assays which measure the amount of circulating viral RNA. %%EOF 3 0 obj View coverage, coding and billing information for Positron Emission Tomography Scans Coverage defined by the SSA, NCD and CMS manuals, including contractor determined coding criteria. hbbd```b`` Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: April 06, 2004 7384 0 obj <>stream The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. January 2022 PDF Medicare Advantage HMO Utilization Management and Population - BCBSIL XEo~]BDw'A,{I11#jm?=$. "H[`5d\@$k5_&xu9HL0 V"U?z blg201208`; ?u Click on the blue download arrow on the right side of page when LCD or Article appears. 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In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Coverage Determinations, Part 2 Sections 90 - 160.26 (PDF) Chapter 1 - Coverage Determinations, Part 1 Sections 10 - 80.12 (PDF) Chapter 1 - Coverage Determinations, Part 3 Sections 170 - 190.34 (PDF) . DEPARTMENT: Regulatory Compliance Support POLICY DESCRIPTION: Medicare National and Local Coverage Determinations for Physician Professional Services and Non-Hospital Entities PAGE: 1 of 6 REPLACES POLICY: 10/1/11, 10/1/15, 2/1/17 EFFECTIVE DATE: December 1, 2021 REFERENCE NUMBER: REGS.OSG.007 APPROVED BY: Ethics and Compliance Policy Committee .
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