local coverage determination
Defined in 2 places of the United States Code.
For purposes of this section, the term “local coverage determination” means a determination by a fiscal intermediary or a carrier under part A of this subchapter or part B of this subchapter, as applicable, respecting whether or not a particular item or service is covered on an intermediary- or carrier-wide basis under such parts, in accordance with section 1395y(a)(1)(A) of this title.
Source
- 2000–201642 U.S.C. § 1395FFThe Public Health and Welfare · Determinations; appeals · for purposes of this section
For purposes of this section, the term “local coverage determination” means a determination by a fiscal intermediary or a carrier under part A or part B, as applicable, respecting whether or not a particular item or service is covered on an intermediary- or carrier-wide basis under such parts, in accordance with section 1395y(a)(1)(A) of this title.
Source
- 2016–present42 U.S.C. § 1395FFThe Public Health and Welfare · Determinations; appeals · for purposes of this section
The term “local coverage determination” has the meaning given that in section 1395ff(f)(2)(B) of this title.
Source
- 2003–present42 U.S.C. § 1395YThe Public Health and Welfare · Exclusions from coverage and medicare as secondary payer · under this subchapter