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Local Coverage Determination for Implantable …

Local Coverage Determination (LCD) for Implantable Infusion Pump for the Treatment of Chronic Intractable Pain (L31254). Contractor Information Contractor Name Contractor Number Contractor Type First Coast Service Options, 09102 MAC - Part B. Inc. Back to Top LCD Information Document Information LCD ID Number L31254. Primary Geographic Jurisdiction Florida LCD Title Implantable Infusion Pump for the Treatment of Chronic Intractable Pain Oversight Region Region IV. Contractor's Determination Number 95990. Original Determination Effective Date AMA CPT/ADA CDT Copyright Statement For services performed on or after 09/30/2010. CPT codes, descriptions and other data only are copyright 2011 American Medical Original Determination Ending Date Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. Current Dental Revision Effective Date Terminology, (CDT) (including procedure For services performed on or after 01/01/2012.)

Unless otherwise specified, italicized text represent quotation from one or more of the following CMS sources: CMS Manual Systems, Publication 100-03, Medicare National Coverage Determinations

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