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ID
Title
LinkText
39492
Ambulatory Electrocardiograph (AECG) Monitoring
LCD - Ambulatory Electrocardiograph (AECG) Monitoring (L39492) (cms.gov)
39506
Cosmetic and Reconstructive Surgery
LCD - Cosmetic and Reconstructive Surgery (L39506) (cms.gov)
39513
Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin
LCD - Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin (L39513) (cms.gov)
39521
Positron Emission Tomography (PET) Scan for Inflammation and Infection
LCD - Positron Emission Tomography (PET) Scan for Inflammation and Infection (L39521) (cms.gov)
39529
Intraarticular Knee Injections of Hyaluronan
LCD - Intraarticular Knee Injections of Hyaluronan (L39529) (cms.gov)
39543
Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
LCD - Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence (L39543) (cms.gov)
39553
Radiation Therapies
LCD - Radiation Therapies (L39553) (cms.gov)
39573
Scalp Cooling for the Prevention of Chemotherapy-Induced Alopecia
LCD - Scalp Cooling for the Prevention of Chemotherapy-Induced Alopecia (L39573) (cms.gov)
39575
Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
LCD - Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (L39575) (cms.gov)
39611
Urine Drug Testing
LCD - Urine Drug Testing (L39611) (cms.gov)
39616
Urinary Biomarkers for Chronic Pain Management
LCD - Urinary Biomarkers for Chronic Pain Management (L39616) (cms.gov)
39620
Micro-Invasive Glaucoma Surgery (MIGS)
LCD - Micro-Invasive Glaucoma Surgery (MIGS) (L39620) (cms.gov)
39624
Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
LCD - Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (L39624) (cms.gov)

Contact PERS 

(800) 763-9155 

[Monday through Friday, from 5 a.m. to 6 p.m.]

 

Visit the PERS website

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Dental

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Vision

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Vision

Frame/Lens or Contact Allowable

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Hearing Aids

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Hearing Aids

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Meals

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Worldwide Coverage Allowance

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Worldwide Coverage Allowance

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Online Fitness Portal

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Online Fitness Portal

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Transportation

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Routine Podiatry

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Routine Podiatry

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Routine Acupuncture,
Chiropractic, Massage

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Routine Acupuncture,
Chiropractic, Massage

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Over the Counter benefit

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Over the Counter benefit

Specific dollar amount available each quarter

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Woman smiling during dental procedure, professional healthcare in progress.
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