About this policy
CMS National Coverage Determination | ncd_id=127 | manual_section=140.1 | coverage_level_code=2 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
CIM 35-99 Abortions are not covered Medicare procedures except: If the pregnancy is the result of an act of rape or incest; or In the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death unless an abortion is performed.
Documentation requirements
Revision History: 03/2006 - Technical Corrections to the NCD Manual. Effective/Implementation Date: 06/19/2006. ( TN 48 ) (CR4278) 03/1999 - Restricted coverage to pregnancies resulting from rape or incest, or that endanger the life of the mother. Effective date NA. Restrictions are included in section 508 and 509 of the Omnibus Consolidated and Emergency Supplemental Appropriations Act for fiscal year 1999. (TN 108) (CR 778) Benefit Categories: 52 - Physicians' Services Transmittal: transmittal_number=48 | transmittal_issue_date=2006-03-17 | change_request_number=4278
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
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