How the Venom Exception Fell Out of One MAC's Copy
Five Medicare contractors just published the same Allergy Diagnostic Testing LCD, word for word, across 38 states and $45.1 million of Part B testing. CGS's copy is missing two words, and the sentence they came out of is the one that decides whether a serum IgE test and a skin test can both be billed for the same antigen. CGS's own billing article still has them.
Run five final Local Coverage Determinations through a diff and you expect five different documents. Different contractors, different medical directors, different jurisdictions.
Do it with the new Allergy Diagnostic Testing LCD and you get something else.
Noridian's L40324, Wellpoint Federal's L40330 and WPS's L40341 are line-for-line identical. Palmetto's L40328 differs in two hyphens.
CGS's L40326 differs in two words.
They are not decorative words.
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The impact tables, the code-level detail, and the rest of the analysis sit past this line.
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