April 1, 2021
Policy Article Revisions Summary for April 1, 2021
Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Automatic External Defibrillators, Bowel Management Devices, Heating Pads and Heat Lamps, High Frequency Chest Wall Oscillation Devices, and Walkers. Please review the entire Local Coverage Determinations (LCDs) and related PAs for complete information.
Automatic External Defibrillators
PA
Automatic External Defibrillators PA
Revision Effective Date: 01/01/2020
CODING GUIDELINES:
- Revised: Instructions related to KF modifier for K0606 and E0617
04/01/2021: At this time the 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.
Bowel Management Devices
PA
Revision Effective Date: 01/01/2020
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
- Removed: Trademark symbols, per AMA guidelines
CODING GUIDELINES:
- Removed: Trademark symbols, per AMA guidelines
04/01/2021: At this time the 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.
Heating Pads and Heat Lamps
PA
Heating Pads and Heat Lamps PA
Revision Effective Date: 01/01/2020
CODING GUIDELINES:
- Revised: References to Occupational Safety and Health Administration and Nationally Recognized Testing Laboratory references, to include acronyms
04/01/2021: At this time the 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.
High Frequency Chest Wall Oscillation Devices
PA
High Frequency Chest Wall Oscillation Devices PA
Revision Effective Date: 10/01/2020
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
- Removed: "etc." from the not all-inclusive list of medical condition examples
CODING GUIDELINES:
- Removed: "etc." from the not all-inclusive list of differing technologies used by E0483 devices
- Removed: "etc." from the not all-inclusive list of components included in A7025
04/01/2021: At this time the 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.
Walkers
PA
Revision Effective Date: 01/01/2020
CODING GUIDELINES:
- Added: "(CVR)" after reference to coding verification review
- Added: "(PCL)" after reference to "Product Classification List"
- Added: Incorrect coding denial language for products billed using HCPCS that require written coding verification review
- Revised: Reference to HCPCS code E0159 long description
04/01/2021: At this time the 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.
Note: The information contained in this article is only a summary of revisions to the LCDs and PAs. For complete information on any topic, you must review the LCDs and/or PAs.