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LIST OF MODIFIERS

Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

Local Coverage Determinations [LCD]


Local Coverage Determination (LCD) formerly known as Local Medical Review Policies (LMRP) is defined as a decision by a fiscal intermediary (FI) or carrier whether to cover a particular service on an intermediary-wide or carrier-wide basis in accordance with Section 1862(a)(1)(A) of the Social Security Act (e.g., a determination as to whether the service or item is reasonable and necessary) - Section 522 of the Benefits Improvement and Protection Act (BIPA). 
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