Transcription of Local Coverage Determination for Peripheral …
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Local Coverage Determination (LCD) for Peripheral Nerve Blocks (L29258). 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 L29258 Primary Geographic Jurisdiction Florida LCD Title Peripheral Nerve Blocks Oversight Region Region IV. Contractor's Determination Number 64400. Original Determination Effective Date AMA CPT/ADA CDT Copyright Statement For services performed on or after 02/02/2009. 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).
ICD-9 Codes that Support Medical Necessity 053.12 POSTHERPETIC TRIGEMINAL NEURALGIA 053.13 POSTHERPETIC POLYNEUROPATHY 053.9 HERPES ZOSTER WITHOUT COMPLICATION
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