About this policy
CMS National Coverage Determination | ncd_id=155 | manual_section=110.9 | coverage_level_code=3 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
For antigens provided to patients on or after November 17, 1996, Medicare does not cover such antigens if they are to be administered sublingually, i.e., by placing drops under the patient's tongue. This kind of allergy therapy has not been proven to be safe and effective. Antigens are covered only if they are administered by injection.
Documentation requirements
Revision History: 10/1996 - Provided noncoverage policy. Effective date 11/17/1996. (TN 90) Benefit Categories: 3 - Antigens Transmittal: transmittal_number=90 | transmittal_issue_date=1996-10-01
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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