CMS Destruction of Malignant Skin Lesions Form
This procedure is not covered
Background for this Policy
Summary Of Evidence
N/A
Analysis of Evidence
N/A
Covered Indications
Destruction of malignant skin lesions
The destruction of malignant skin lesions will be considered medically necessary in the following circumstances:
- When a pathology report confirms the diagnosis of a skin malignancy, and/or
- When the description of the lesion is consistent with that of a skin malignancy.
Limitations
As published in the CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 13, Section 13.5.4, an item or service may be covered by a contractor LCD if it is reasonable and necessary under the Social Security Act Section 1862 (a)(1)(A). Contractors shall determine and describe the circumstances under which the item or service is considered reasonable and necessary.
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