DME MAC A News for June 25, 2009 - LCD and Policy Article Revisions - Summary for June 25, 2009

 

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June 25, 2009 LCD and Policy Article Revisions - Summary for June 25, 2009Outlined 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     LCD           Revision Effective Date: 09/01/2009           HCPCS MODIFIERS:               Added: GA and GZ modifiers.               Revised: KX modifier.           DOCUMENTATION REQUIREMENTS:               Added: Instructions for use of GA and GZ modifiers.     Policy Article           Revision Effective Date: 09/01/2009           CODING GUIDELINES:               Changed: SADMERC to PDAC. Canes and Crutches     Policy Article           Revision Effective Date: 07/01/2009           CODING GUIDELINES:               Changed: SADMERC to PDAC. Cervical Traction Devices     LCD           Revision Effective Date: 09/01/2009           INDICATIONS AND LIMITATIONS OF COVERAGE:               Removed: E0856 from range of covered codes.           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 Article           Revision Effective Date: 09/01/2009           CODING GUIDELINES:               Changed: SADMERC to PDAC. Cold Therapy     Policy Article           Revision Effective Date: 07/01/2009           CODING GUIDELINES:               Changed: SADMERC to PDAC. Commodes     LCD           Revision Effective Date: 09/01/2009           INDICATIONS AND LIMITATIONS OF COVERAGE AND/OR MEDICAL NECESSITY:               Removed: Reference to DMERC.           HCPCS CODES AND MODIFIERS:               Added: GA and GZ modifiers.               Revised: KX modifier.           DOCUMENTATION REQUIREMENTS:               Added: Instructions for the use of GA, GY and GZ modifiers.     Policy Article           Revision Effective Date: 09/01/2009           CODING GUIDELINES:               Changed: SADMERC to PDAC. Enteral Nutrition     Policy Article           Revision 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     LCD           Revision Effective Date: 09/01/2009           CMS NATIONAL COVERAGE POLICY:               Added: CMS Pub. 100-2, Medicare Benefit Policy Manual, Chapter 15, Section 50.5.2.           HCPCS CODES AND MODIFIERS:               Added: GY modifier.               Revised: KX modifier.           DOCUMENTATION REQUIREMENTS:               Added: Instructions for use of GY modifier.     Policy Article           Revision Effective Date: 09/01/2009           CODING GUIDELINES:               Changed: SADMERC to PDAC. Eye Prostheses     Policy Article           Revision Effective Date: 07/01/2009           CODING GUIDELINES:               Revised: RT/LT instructions.               Changed: SADMERC to PDAC. Facial Prostheses     Policy Article           Revision Effective Date: 07/01/2009           CODING GUIDELINES:               Revised: RT/LT modifier instructions.               Changed: SADMERC to PDAC. Home Dialysis Supplies and Equipment     LCD           Revision Effective Date: 09/01/2009           HCPCS CODES AND MODIFIERS:               Added: GY modifier.               Revised: KX modifier.           DOCUMENTATION REQUIREMENTS:               Added: Instructions for use of GY modifier.     Policy Article           Revision Effective Date: 09/01/2009           CODING GUIDELINES:               Changed: SADMERC to PDAC. Positive Airway Pressure (PAP) Devices for Obstructive Sleep Apnea     LCD           Revision Effective Date: 09/01/2009           HCPCS CODES AND MODIFIERS               Added: GA and GZ modifiers.               Revised: KX modifier.           DOCUMENTATION:               Added: Information about the required use of GA, GZ or KX on claim lines for PAP devices and/or accessories. Respiratory Assist Devices (RAD)     LCD           Revision 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 Article           Revision 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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