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October 5, 2023

Policy Article Revisions Summary for October 5, 2023

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

Nebulizers

PA

Nebulizers PAExternal Website

Revision Effective Date: 10/01/2023

ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:

  • Added: ICD-10-CM Codes J12.82, U07.1 and U09.9 to Groups 3, 8 and 12 Codes due to ICD-10-CM Code updates
  • Removed: ICD-10-CM Code J15.6 from Groups 2, 3, 7, 12 and 13 Codes due to ICD-10-CM Code updates
  • Added: ICD-10-CM Codes J15.61 and J15.69 to Groups 2, 3, 7, 12 and 13 Codes due to ICD-10-CM Code updates
  • Added: ICD-10-CM Codes J44.81 and J44.89 to Groups 2, 3, 6, 7, 8, 12 and 13 Codes due to ICD-10-CM Code updates

10/05/2023: 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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