Local Coverage Determination for Qualitative Drug ...

Local Coverage Determination (LCD) for Qualitative DrugScreening (L30574)Contractor InformationContractor NameFirst Coast Service Options, Number09102 Contractor TypeMAC - Part BBack to TopLCD InformationDocument InformationLCD ID NumberL30574 LCD TitleQualitative drug ScreeningContractor's Determination NumberG0431 AMA CPT/ADA CDT Copyright StatementCPT codes, descriptions and other data onlyare copyright 2011 American MedicalAssociation (or such other date of publicationof CPT). All Rights Reserved. ApplicableFARS/DFARS Clauses Apply. Current DentalTerminology, (CDT) (including procedurecodes, nomenclature, descriptors and otherdata contained therein) is copyright by theAmerican Dental Association. 2002, 2004 American Dental Association. All rightsreserved. Applicable FARS/DFARS Geographic JurisdictionFloridaOversight RegionRegion IVOriginal Determination Effective DateFor services performed on or after 01/25/2010 Original Determination Ending DateRevision Effective DateFor services performed on or after 02/13/2011 Revision Ending DateCMS National Coverage PolicyLanguage quoted from CMS National Coverage Determination (NCDs) and coverageprovisions in interpretive manuals are italicized throughout the Local Coverage Determination (LCD).

ICD-9 Codes that DO NOT Support Medical Necessity Asterisk Explanation Diagnoses that DO NOT Support Medical Necessity N/A Back to Top General Information

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  Code, Drug, Coverage, Determination, Local, Qualitative, Local coverage determination for qualitative drug

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