(Medicare National Coverage Determinations Manual)

Patients CIM 45-32 150.6 Vitamin B12 Injections to Strengthen Tendons; Ligaments; etc; of the Foot CIM 45-4 80.1 Hydrophilic Contact Lens for Corneal Bandage CIM 45-7 70.2.1 Services Provided for the Diagnosis and Treatment of Diabetic Sensory Neuropathy with Loss of Protective Sensation (aka Diabetic Peripheral Neuropathy) CIM 50.8.1 20.8.1 Cardiac Pacemaker Evaluation Services CIM 50-1 20.8.1.1 Transtelephonic Monitoring of Cardiac Pacemakers CIM 50-1 230.6 Vabra Aspirator CIM 50-10 220.1 Computerized Tomography  CIM 50-12 220.2 Magnetic Resonance Imaging CIM 50-13  220.3 Magnetic Resonance Angiography CIM 50-14 20.15 Electrocardiographic Services CIM 50-15 250.2 Hemorheograph CIM 50-16 190.4 Electron Microscope CIM 50-18 70.4 Pronouncement of Death CIM 50-19 110.13 Cytotoxic Food Tests CIM 50-2 NCD Section Title CIM Section  190.2 Diagnostic Pap Smears CIM 50-20 230.11 Diagnostic Pap Smears CIM 50-20 210.2 Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cance CIM 50-20.1 220.4 Mammograms CIM 50-21 110.12 Challenge Ingestion Food Testing CIM 50-22 190.1 Histocompatibility Testing CIM 50-23 190.6 Hair Analysis CIM 50-24 100.4 Esophageal Manometry CIM 50-25 260.6 Dental Examination Prior to Kidney Transplantation CIM 50-26 220.7 Xenon Scan CIM 50-27 70.5 Hospital and Skilled Nursing Facility Admission Diagnostic Procedures CIM 50-28 190.3 Cytogenetic Studies CIM 50-29 20.13 HIS Bundle Study CIM 50-3 220.8 Nuclear Radiology Procedure CIM 50-30 160.10 Evoked Response Tests CIM 50-31 20.7 Percutaneous Transluminal Angioplasty (PTA)    CIM 50-32 300.1 Obsolete or Unreliable Diagnostic Tests CIM 50-34 190.5 Sweat Test CIM 50-35 220.6 Positron Emission Tomography (PET) Scans CIM 50-36 20.17 Noninvasive Tests of Carotid Function CIM 50-37 80.8 Endothelial Cell Photography   CIM 50-38 160.21 Telephone Transmission of EEGs CIM 50-39 NCD Section Title CIM Section  160.22 Ambulatory EEG Monitoring CIM 50-39.1 230.5 Gravlee Jet Washer CIM 50-4 160.5 Sterotaxic Depth Electrode Implantation CIM 50-40 190.7 Human Tumor Stem Cell Drug Sensitivity Assays CIM 50-41 20.19 Ambulatory Blood Pressure Monitoring CIM 50-42 220.9 Digital Subtraction Angiography CIM 50-43 150.3 Bone (Mineral) Density Studies CIM 50-44 190.8 Lymphocyte Mitogen Response Assays CIM 50-45 30.9 Transillumination Light Scanning or Diaphanography CIM 50-46 20.27 Cardiointegram (CIG) as an Alternative to Stress Test or Thallium Stress Test    CIM 50-47 220.10 Portable Hand-Held X-Ray Instrument CIM 50-48 80.9 Computer Enhanced Perimetry CIM 50-49 220.11 Thermography CIM 50-5 20.24 Displacement Cardiography CIM 50-50 100.5 Diagnostic Breath Analyses CIM 50-51 190.9 Serologic Testing for Acquired Immunodeficiency Syndrome (AIDS)  CIM 50-52 110.11 Food Allergy Testing and Treatment CIM 50-53 20.16 Cardiac Output Monitoring By Electrical Bioimpedance CIM 50-54 210.1 Prostate Cancer Screening Tests CIM 50-55 190.11   Home Prothrombin Time INR Monitoring for Anticoagulation Management CIM 50-56 NCD Section Title CIM Section  160.23 Current Perception Threshold/Sensory Nerve Conduction Threshold Test (sNCT) CIM 50-57.1 220.12 Single Photon Emission Computed Tomograph  (SPECT) CIM 50-58 220.13 Percutaneous Image-Guided Breast Biopsy CIM 50-59 20.14 Plethysmography CIM 50-6 220.5 Ultrasound Diagnostic Procedures CIM 50-7 70.2 Consultation Services Rendered By a Podiatrist in a Skilled Nursing Facility CIM 50-8 100.12 Gastrophotography CIM 50-9 230.7 Water Purification and Softening Systems Used in Conjunction with Home Dialysis CIM 55-1 230.13 Peridex CAPD Filter Set CIM 55-2 230.14 Ultrafiltration Monitor   CIM 55-3 40.2 Home Blood Glucose Monitors CIM 60-11 and CIM 60-14