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Medical Necessity Guidelines
Part of our customer promise is helping you ensure that all testing is ordered
and performed in accordance with quality and medical necessity guidelines. By
clicking on the top link below, you will be able to access a listing compiled by
Sunrise of all ICD-9-CM codes included in the National (CMS) and Local (NGS)
Coverage Determinations for limited coverage tests. If you wish to read
the complete NCDs and LCDs, including the explanatory text, you can click on
the additional links listed below, which will take you to the applicable pages
on the CMS and NGS web sites.
Medicare Medical Review Policies (Code Listings) Complete National and Local Coverage Determinations, including explanatory text: CMS National Coverage Determinations NGS Local Coverage Determinations | ||||||||||