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June 6, 2024

Policy Article Revisions Summary for June 6, 2024

Joint DME MAC Publication

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Ankle-Foot/Knee-Ankle-Foot Orthoses, Knee Orthoses, and Osteogenesis Stimulators. Please review the entire Local Coverage Determinations (LCDs) and related PAs for complete information.

Ankle-Foot/Knee-Ankle-Foot Orthoses

PA

Ankle-Foot/Knee-Ankle-Foot Orthoses PAExternal Website

Revision Effective Date: 01/23/2024

CODING VERIFICATION REVIEW:

  • Added: Coding verification review information for HCPCS code L1951, effective for DOS on or after 12/01/2024

06/06/2024: At this time 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.

Knee Orthoses

PA

Knee Orthoses PAExternal Website

Revision Effective Date: 01/23/2024

CODING VERIFICATION REVIEW:

  • Added: Coding verification review information for HCPCS code L1843, effective for DOS on or after 12/01/2024

06/06/2024: At this time 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.

Osteogenesis Stimulators

PA

Osteogenesis Stimulators PAExternal Website

Revision Effective Date: 07/02/2023

CODING VERIFICATION REVIEW:

  • Added: Section header and PDAC CVR information
  • Added: Coding verification review information for HCPCS codes E0747, E0748 and E0760, effective for DOS on or after 12/01/2024

06/06/2024: 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.

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