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Local Coverage Determination for Chemotherapy Drugs and their Adjuncts (L28576) Home About CMS Newsroom Center FAQs Archive Share Learn about your healthcare options Medicare Medicaid/CHIP OVERVIEW
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What is local coverage determinations?
Local coverage determinations are decisions made by Medicare administrative contractors regarding the coverage of a specific medical service or item in a specific geographic area.
Who is required to file local coverage determinations?
Medicare administrative contractors are required to file local coverage determinations.
How to fill out local coverage determinations?
Local coverage determinations should be filled out following the guidelines provided by the Centers for Medicare and Medicaid Services.
What is the purpose of local coverage determinations?
The purpose of local coverage determinations is to ensure consistent coverage decisions for Medicare beneficiaries across different regions.
What information must be reported on local coverage determinations?
Local coverage determinations must include information on the medical service or item being considered for coverage, the evidence supporting the decision, and any relevant billing codes.
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