LCD Reference Article Response To Comments Article

Response to Comments: In Vitro Chemosensitivity & Chemoresistance Assays

A56076

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Source Article ID
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Article ID
A56076
Original ICD-9 Article ID
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Article Title
Response to Comments: In Vitro Chemosensitivity & Chemoresistance Assays
Article Type
Response to Comments
Original Effective Date
10/08/2018
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The Comment Period for the In Vitro Chemosensitivity & Chemoresistance Assays LCD L37628 began on 02/01/2018 and ended 04/13/2018. Comments were received from the provider community. The notice period starts on 8/23/2018.

Response To Comments

Number Comment Response
1

The first sentence in this draft reads:

This is a noncoverage policy for the chemosensitivity and chemoresistance assays (CSRAs) listed within the policy.

By specifically calling out the CSRAs "listed within this policy," it makes it sound like non-coverage is only limited to those, but coverage could be possible. However, at the end of the LCD, it states, " As of this policy's effective date, the available scientific literature is conflicting and controversial. Therefore, CSRAs are considered investigational and not a Medicare benefit." This statement is more comprehensive, and it is concluded that no CSRA would be considered medically necessary or eligible for coverage.

Thank you for your comments. We will incorporate your suggestions into the final LCD.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
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Updated On Effective Dates Status
08/16/2018 10/08/2018 - N/A Currently in Effect You are here

Keywords

  • chemosensitivity and chemoresistance assays
  • CSRAs
  • non-coverage