CodeMap® LCD-L37618

Contractor Information

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

Contractor Number: 02101
Contractor Type: MAC A

LCD Information

LCD ID Number: L37618 Status: R- Retired
LCD Title: Lab: Cystatin C Measurement
Geographic Jurisdiction: Alaska Other Jurisdictions
Original Determination Effective Date: 02/11/2019
Original Determination Ending Date: 09/11/2025
Revision Effective Date: 02/14/2025
Revision End Date: 09/11/2025
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.

Title XVIII of the Social Security Act, §1861(xx)(1) addresses cardiovascular screening blood tests.

42 Code of Federal Regulations (CFR) 410.32(a) indicates that diagnostic tests may be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements).

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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07/21/2026 01:37:15 18.97.9.174

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