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POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

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March 14, 2025

Policy Article Revisions Summary for March 13, 2025

Joint DME MAC Publication

Outlined below are the principal changes to the DME MAC Policy Article (PA) that has been revised and posted. The policy included is External Infusion Pumps. Please review the entire Local Coverage Determination (LCD) and related PA for complete information.

External Infusion Pumps

PA

External Infusion Pumps PA

Revision Effective Date: 02/19/2025

CODING GUIDELINES:

Added: Single asterisks to A4222 and K0552 in the Associated Codes column of the table for HCPCS supply codes associated with external infusion pumps HCPCS codes

Revised: "*For E0779, E0780, E0781, E0791 and K0455 pumps, either A4222 or K0552 may be billed, but not both" to "*For E0779, E0780, E0781, E0791 and K0455 pumps, either A4222 and/or K0552 may be billed"

03/13/2025: 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.