national coverage determination
Defined in 2 places of the United States Code.
For purposes of this section, the term “national coverage determination” means a determination by the Secretary with respect to whether or not a particular item or service is covered nationally under this subchapter, but does not include a determination of what code, if any, is assigned to a particular item or service covered under this subchapter or a determination with respect to the amount of payment made for a particular item or service so covered.
Source
- 2000–present42 U.S.C. § 1395FFThe Public Health and Welfare · Determinations; appeals · for purposes of this section
The term “national coverage determination” means a determination by the Secretary with respect to whether or not a particular item or service is covered nationally under this subchapter.
Source
- 2003–present42 U.S.C. § 1395YThe Public Health and Welfare · Exclusions from coverage and medicare as secondary payer · under this subchapter