Jurisdiction B News: LCD and Policy Article Revisions - June 25, 2009

 

LCD and Policy Article Revisions - June 25, 2009 Outlined below are the principal changes to several DME MAC 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. Automatic External Defibrillators  LCDRevision Effective Date: 09/01/2009 HCPCS MODIFIERS:Added: GA and GZ modifiers Revised: KX ModifierDOCUMENTATION REQUIREMENTS:Added: Instructions for use of GA and GZ modifiers Policy ArticleRevision Effective Date: 09/01/2009 CODING GUIDELINES: Changed: SADMERC to PDAC Canes and Crutches Policy ArticleRevision Effective Date: 07/01/2009 CODING GUIDELINES: Changed: SADMERC to PDAC Cervical Traction Devices  LCDRevision Effective Date: 09/01/2009INDICATIONS AND LIMITATIONS OF COVERAGE:Removed: E0856 from range of covered codesHCPCS CODES AND MODIFIERS:Added: GA and GZ modifiersRevised: KX modifierDOCUMENTATION REQUIREMENTS:Added: Instructions for the use of GA and GZ modifiers Policy ArticleRevision Effective Date: 09/01/2009CODING GUIDELINES:Changed: SADMERC to PDAC Cold Therapy Policy ArticleRevision Effective Date: 07/01/2009CODING GUIDELINES:Changed: SADMERC to PDAC Commodes  LCDRevision Effective Date: 09/01/2009INDICATIONS AND LIMITATIONS OF COVERAGE AND/OR MEDICAL NECESSITY: Removed: Reference to DMERCHCPCS CODES AND MODIFIERS:Added: GA and GZ modifiersRevised: KX modifierDOCUMENTATION REQUIREMENTS:Added: Instructions for the use of GA, GY and GZ modifiers. Policy ArticleRevision Effective Date: 09/01/2009 CODING GUIDELINES: Changed: SADMERC to PDAC Enteral Nutrition Policy ArticleRevision Effective Date: 07/01/2009 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:Added: Instructions for delivery of supplies. Changed: DMERC to DME MAC CODING GUIDELINES:Clarified: Definition for supply kit codes B4034-B4036.Changed: SADMERC to PDAC Epoetin LCDRevision Effective Date: 09/01/2009CMS NATIONAL COVERAGE POLICY:Added: CMS Pub. 100-2, Medicare Benefit Policy Manual, Chapter 15, Section 50.5.2HCPCS CODES AND MODIFIERS:Added: GY modifierRevised: KX modifierDOCUMENTATION REQUIREMENTS:Added:  Instructions for use of GY modifier Policy ArticleRevision Effective Date: 09/01/2009CODING GUIDELINES:Changed: SADMERC to PDAC Eye Prostheses Policy ArticleRevision Effective Date: 07/01/2009 CODING GUIDELINES:Revised: RT/LT instructions. Changed: SADMERC to PDAC Facial Prostheses Policy ArticleRevision Effective Date: 07/01/2009 CODING GUIDELINES:Revised: RT/LT modifier instructions Changed: SADMERC to PDAC Home Dialysis Supplies and Equipment  LCDRevision Effective Date: 09/01/2009 HCPCS CODES AND MODIFIERS:Added: GY modifier Revised: KX modifierDOCUMENTATION REQUIREMENTS:Added: Instructions for use of GY modifier. Policy ArticleRevision Effective Date: 09/01/2009 CODING GUIDELINES: Changed: SADMERC to PDAC Positive Airway Pressure (PAP) Devices for Obstructive Sleep Apnea LCDRevision Effective Date:  09/01/2009HCPCS CODES AND MODIFIERSAdded : GA and GZ modifiers Revised: KX ModifierDOCUMENTATION:Added:  Information about the required use of GA, GZ or KX on claim lines for PAP devices and/or accessories. Respiratory Assist Devices (RAD) LCDRevision Effective Date: 09/01/2009 HCPCS CODES AND MODIFIERS: Added: GA and GZ modifiers Revised: KX modifier DOCUMENTATION REQUIREMENTS: Added: Instructions for the use of GA and GZ modifiers Policy ArticleRevision Effective Date: 09/01/2009 CODING GUIDELINES: Changed: SADMERC to PDAC 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.

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