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| LCD and Policy Article Revisions - Summary for December 18, 2008 Outlined below is a summary of the principal changes to several DME Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. Please review the entire LCD and each related Policy Article for complete information. Patient Lifts LCDRevision Effective Date:01/01/2009 INDICATIONS AND LIMITATIONS OF COVERAGE: Removed: Least costly alternative statement for E0635Revised: Coverage criteria for E0636Added: Coverage criteria for E0639 and E0640DOCUMENTATION REQUIREMENTS:Added: KX modifier requirement for E0636 Policy ArticleRevision Effective Date:01/01/2009 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES: Deleted: Noncoverage statement for E0639, E0640Added: Noncoverage statement about home modifications.Revised: E0625 noncoverage statement. CODING GUIDELINES:Added: Definition for E0636, E0639, and E0640.Revised: Definition of E1035Added: Requirement for PDAC coding verification review for E0636, E0639, E0640, and E1035Reformatted bundling tableAdded E0639 and E0640 to table.Changed: SADMERC to PDAC Positive Airway Pressure Devices for the Treatment of Obstructive Sleep Apnea LCDRevision Effective Date: 1/1/2009 except where noted otherwise in the LCD.INDICATIONS AND LIMITATIONS OF COVERAGE:Revised: Criteria for Type IV home sleep test deviceAdded: Coverage requirements for beneficiaries enrolling in Medicare and needed replacement PAP device and/or accessories.DOCUMENTATION:Added: Requirements for beneficiaries enrolling in Medicare and needed replacement PAP device and/or accessories.APPENDICES:Added: List of approved Type IV devices that do not report AHI/RDI based on direct measurement of airflow or thoracoabdominal movement. Covered Type IV device list to include WatchPAT-100 Note: The information contained in this article is only a summary of revisions to LCDs and Policy Articles. For complete information on any topic, you must review the LCD and/or Policy Article. |
| Remember! National Government Services' Jurisdiction B DME MAC List Serve is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank you! CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message. To unsubscribe/change profile: click here. |
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