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September 28, 2023

Policy Article Revisions Summary for September 28, 2023

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Orthopedic Footwear and Patient Lifts. Please review the entire Local Coverage Determinations (LCDs) and related PAs for complete information.

Orthopedic Footwear

PA

Orthopedic Footwear PAExternal Website

Revision Effective Date: 11/01/2023

MODIFIERS:

  • Added: Statement, "When billing for a shoe replacement or shoe transfer that is an integral part of a leg brace, a KX modifier must be added to the code."

09/28/2023: 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.

Patient Lifts

PA

Patient Lifts PAExternal Website

Revision Effective Date: 01/01/2020

CODING GUIDELINES:

  • Added: Description of code E0635

09/28/2023: 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.

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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