LCD/NCD Portal

NCD140.1

 

ABORTION

 

 

Effective Date of this Version

• 6/19/2006

 

Benefit Category

• Physicians' Services.

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

Indications and Limitations of Coverage

CIM 35-99

Abortions are NOT covered Medicare procedures except:

• If the pregnancy is the result of an act of rape or incest.

Or

• In the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself that would, as certified by a physician place the woman in danger of death unless an abortion is performed.

 

Coverage Transmittal Link

http://www.cms.gov/transmittals/downloads/R48NCD.pdf

 

CPT Copyright Statement

CPT only copyright 2002-2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

 

 

Medicare NCD Link