---
kind: "section"
citation: "42 C.F.R. § 426.455"
title: "42"
number: "426.455"
heading: "Prohibited provisions of an ALJ's decision."
url: "https://uscodex.org/cfr/42/426.455"
---

# §426.455. Prohibited provisions of an ALJ's decision.


An 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.

## Notes

### Authority

Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh)

### Source

Source: 68 FR 63716, Nov. 7, 2003, unless otherwise noted.