Transcription of Local Coverage Determination for Sacroiliac Joint ...
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Local Coverage Determination for Sacroiliac Joint ...
Local Coverage Determination (LCD) for Sacroiliac JointInjection (L29274)Contractor InformationContractor NameFirst Coast Service Options, Number09102 Contractor TypeMAC - Part BBack to TopLCD InformationDocument InformationLCD ID NumberL29274 LCD TitleSacroiliac Joint InjectionContractor's Determination Number27096 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 02/02/2009 Original Determination Ending DateRevision Effective DateFor services performed on or after 01/01/2012 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).
Local Coverage Determination (LCD) for Sacroiliac Joint Injection (L29274) Contractor Information Contractor Name First Coast Service Options, Inc.
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