Jurisdiction B News: LCD and Policy Article Revisions – Summary for July 2009

 

LCD and Policy Article Revisions – Summary for July 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. High Frequency Chest Wall Oscillation DevicesLCDRevision Effective Date: 10/01/2009 INDICATIONS AND LIMITATIONS OF COVERAGE:  Clarified:  Coverage criterion #2HCPCS CODES AND MODIFIERS:Added:  GA, GZRevised: KXDOCUMENTATION REQUIREMENTS:Added:  Instructions for GA and GZ modifiers  Hospital BedsLCDRevision Effective Date: 10/01/2009 HCPCS CODES AND MODIFIERS:  Revised: KX modifierDOCUMENTATION REQUIREMENTS:Added: Instructions for the use of GA and GZ modifiers Policy ArticleRevision Effective Date: 10/01/2009 CODING GUIDELINES:  Changed: SADMERC to PDAC  Infrared Heating Pad SystemsPolicy ArticleRevision Effective Date: 08/01/2009CODING GUIDELINES:Changed: SADMERC to PDAC  Intrapulmonary Percussive Ventilation SystemsPolicy ArticleRevision Effective Date: 08/01/2009 CODING GUIDELINES:  Changed: SADMERC to PDAC  Manual Wheelchair BasesLCDRevision Effective Date: 10/01/2009HCPCS CODES AND MODIFIERS:Added: GA and GZ modifiersRevised KX modifierDOCUMENTATION REQUIREMENTS:Added: Instructions for use of GA and GZ modifiers Policy ArticleRevision Effective Date: 10/01/2009CODING GUIDELINES:Deleted E1161 from range of codes E1070-E1200Changed SADMERC to PDAC  Mechanical In-Exsufflation DevicesPolicy ArticleRevision Effective Date: 08/01/2009 CODING GUIDELINES:  Changed: SADMERC to PDAC  Negative Pressure Wound TherapyLCDRevision Effective Date: 10/01/2009INDICATIONS AND LIMITATIONS OF COVERAGE:Added: Program Integrity Manual instructions on refills of suppliesChanged: SADMERC to PDACHCPCS CODES AND MODIFIERS:Added: GA and GZ modifiersRevised: KX modifierDOCUMENTATION REQUIREMENTS:Added: Instructions for the use of GA and GZ modifiersAPPENDICES:Revised pressure ulcer staging based on NPUAP guidelinesSOURCES OF INFORMATION AND BASIS FOR DECISION:Added:  Reference to NPUAP guidelines for pressure ulcer staging Policy ArticleRevision Effective Date: 10/01/2009CODING GUIDELINES:Changed SADMERC to PDAC  Orthopedic FootwearLCDRevision Effective Date: 10/01/2009HCPCS CODES AND MODIFIERS:Added: GY modifierRevised: KX modifierDOCUMENTATION REQUIREMENTS:Added: GY modifier instructions Policy ArticleRevision Effective Date: 10/01/2009CODING GUIDELINES:Revised: RT/LT modifier instructionsChanged: SADMERC to PDAC  Osteogenesis StimulatorsLCDRevision Effective Date: 08/01/2009DOCUMENTATION REQUIREMENTS:Included: Ultrasonic in statement regarding correct CMN to use for electrical osteogenesis stimulators Policy ArticleRevision Effective Date: 08/01/2009CODING GUIDELINES:Changed: SADMERC to PDAC  Parenteral NutritionLCDRevision Effective Date: 10/01/2009DOCUMENTATION REQUIREMENTS:Revised: Instructions for submitting a revised DIF Policy ArticleRevision Effective Date: 10/01/2009 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:Revised: DMERC to DME MACCODING GUIDELINES:Revised: SADMERC to PDAC  Power Mobility DevicesLCDRevision Effective Date: 10/01/2009HCPCS MODIFIERS:Added:  GA and GZ modifiersRevised:  KX modifierDOCUMENTATION REQUIREMENTS:Revised: Requirements for detailed product descriptionAdded: Instructions for use of the GA and GZ modifiers  Refractive LensesLCDRevision Effective Date: 10/01/2009 HCPCS MODIFIERS:  Added:  GA and GZ modifiersRevised: KX modifierDOCUMENTATION REQUIREMENTS:Added:  Instructions for use of GA and GZ modifiers Policy ArticleRevision Effective Date:  10/01/2009 CODING GUIDELINES:Revised: RT/LT modifier instructions 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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