Section 426.455 - Prohibited provisions of an ALJ's decisionAn ALJ's decision may not do any of the following:
(a) Order CMS or its contractors to add any language to a provision or provisions of an LCD.(b) Order CMS or its contractors to pay a specific claim.(c) Set a time limit for CMS or its contractors to establish a new or revised LCD.(d) Review or evaluate an LCD other than the LCD under review.(e) Include a requirement for CMS or its contractors that specifies payment, coding, or systems changes for an LCD, or deadlines for implementing these types of changes.(f) Order or address how a contractor(s) must implement an LCD.