License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

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

End User License Agreement

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August 21, 2025

Policy Article Revisions Summary for August 21, 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: "Claims for K0552 (SUPPLIES FOR EXTERNAL NON-INSULIN DRUG INFUSION PUMP, SYRINGE TYPE CARTRIDGE, STERILE, EACH) are not separately payable if an infusion drug is pre-packaged and supplied in a syringe type cartridge." as clarification

08/21/2025: 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.