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Printed Date: 9/22/2015
Reasonable and Necessary describes services that are:
There are several exceptions to the requirement that a service be reasonable and necessary for diagnosis or treatment of illness or injury. The exceptions appear in the full text of The Federal Register at Section 1862(a)(1)(A) and include but are not limited to:
CMS Regulation Reference: Publication 100-08, Chapter 3, Section 18.104.22.168 (PDF, 598 KB).
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Last Updated: 03/28/2019