US · guidance
CMS Pub. 100-04, ch. 13, § 30.1.1
Payment Criteria
A/B MACs (B) make separate payments for LOCM (HCPCS codes Q9945-Q9951) in the case of all
medically necessary intrathecal radiologic procedures furnished to nonhospital patients. Effective
January 1, 2005 in the case of intraarterial and intravenous radiologic procedures, the five restrictive
criteria (a history of previous adverse reaction to contrast material, with the exception of a sensation of
heat, flushing, or a single episode of nausea or vomiting; a history of asthma or allergy; significant
cardiac dysfunction including recent or imminent cardiac decompensation, severe arrhythmia, unstable
angina pectoris, recent myocardial infarction, and pulmonary hypertension; generalized severe
debilitation; or sickle cell disease) for the payment of LOCM are eliminated.
History
(Rev. 627, Issued: 07-29-05, Effective: 01-01-05, Implementation: 10-31-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
3b0481f2cb733382f79e5e6ed6eea5c4c1d41756e1841f2ac8b3f67525d2d18e
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