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Thursday, March 26, 2009

Jurisdiction B News: LCD and Policy Article Revisions Summary

 
 
 
LCD and Policy Article Revisions Summary for March 26, 2009 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. Ankle-Foot/Knee-Ankle-Foot OrthosesLCDRevision Effective Date:  06/01/2009HCPCS CODES AND MODIFIERS:Added:  KX modifierDeleted: L2770DOCUMENTATION:Added:  Instructions for use of KX modifier with both the base and addition code(s) Policy ArticleRevision Effective Date:  06/01/2009CODING GUIDELINES:Deleted: Code L2035 from the custom-fabricated orthoses listDeleted: Codes K0628 and K0629 from the list used in diabetic foot problems managementAdded: Codes A5512 and A5513 to the list used in diabetic foot problems managementAdded: Code L4392 to list of codes rejected as incorrect coding when billed with initial issue of a base orthosis. Wheelchair Options and AccessoriesPolicy ArticleRevision Effective Date:  01/01/2009 (March Revision)NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES: 
Corrected: Noncoverage statement for E2230
CODING GUIDELINES: 
Deleted:  Codes E0977, E0997-E0999, E2320, and K0099 from list of invalid codes.  These codes have been discontinued. 
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 article.

 
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