Billing and Coding: Multiple Imaging in Oncology

Coverage for multiple imaging in oncology is governed by LCD L35391 and is limited to services that are reasonable and necessary per that LCD. Do not bill Medicare for services that are not covered as if they are covered; when non-covered services are billed, apply the appropriate modifier. Refer to LCD L35391 for detailed medical necessity and documentation requirements.

"Multiple imaging studies in oncology are covered only when reasonable and necessary as defined by Local Coverage Determination L35391."

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