October 26, 2023
Policy Article Revisions Summary for October 26, 2023
Outlined below are the principal changes to the DME MAC Policy Article (PA) that has been revised and posted. The policy included is Wheelchair Options/Accessories. Please review the entire Local Coverage Determination (LCD) and related PA for complete information.
Wheelchair Options/Accessories
PA
Wheelchair Options/Accessories PA
Revision Effective Date: 10/26/2023
CODING GUIDELINES:
- Revised: Information pertaining to the RT and LT modifiers
- Removed: "The right (RT) and left (LT) modifiers must be used when appropriate."
- Added: "The right (RT) and left (LT) modifiers are optional on claim lines billed for wheelchair options and accessories."
- Added: "If RT and LT modifiers are not appended, then the bilateral items (left and right) with a unit of service "each" may be billed on a single claim line with 2 UOS."
10/26/2023: 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/or PAs. For complete information on any topic, you must review the LCDs and/or PAs.