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September 7, 2023

LCD and Policy Article Revisions Summary for September 7, 2023

Outlined below are the principal changes to the DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. The policies included are Pneumatic Compression Devices and Surgical Dressings. Please review the entire LCDs and related PAs for complete information.

Pneumatic Compression Devices

LCD

Pneumatic Compression Devices LCDExternal Website

Revision Effective Date: 10/22/2023

SUMMARY OF EVIDENCE:

  • Added: Information related to arterial intermittent pneumatic compression

ANALYSIS OF EVIDENCE:

  • Added: Information related to arterial intermittent pneumatic compression

BIBLIOGRAPHY:

  • Added: Information related to arterial intermittent pneumatic compression

RELATED LOCAL COVERAGE DOCUMENTS:

  • Added: Response to Comments document (A59219)

PA

Pneumatic Compression Devices PAExternal Website

Revision Effective Date: 10/22/2023

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:

  • Removed: Table containing only a description of HCPCS code E0676
  • Added: Full description of E0676 within last sentence

CODING GUIDELINES:

  • Removed: "etc"

Added: Incorrect coding denial language for products billed using HCPCS that require written coding verification review

09/07/2023: 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.

Surgical Dressings

PA

Surgical Dressings PAExternal Website

Revision Effective Date: 09/07/2023

CODING GUIDELINES:

  • Removed: "It has a non-adherent property over the wound site" regarding foam dressing HCPCS codes A6209, A6210, A6211, A6212, A6213, A6214, A6215

09/07/2023: 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.

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