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March 7, 2013

LCD and Policy Article Revisions Summary for March 7, 2013

Outlined below are the principal changes to DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. Please review the entire LCD and each related PA for complete information.

Cervical Traction Devices

LCD

Revision Effective Date: 02/04/2011 (March 2013 Publication)

INDICATIONS AND LIMITATIONS OF COVERAGE:

DOCUMENTATION REQUIREMENTS:

Policy Article

Revision Effective Date: 04/01/2013

NONMEDICAL NECESSITY COVERAGE AND PAYMENT RULES:

Infrared Heating Pad Systems

LCD

Revision Effective Date: 07/01/2007 (March 2013 Publication)

INDICATIONS AND LIMITATIONS OF COVERAGE:

Policy Article

Revision Effective Date: 04/01/2013

NONMEDICAL NECESSITY COVERAGE AND PAYMENT RULES:

Lower Limb Prostheses

LCD

Revision Effective Date: 01/01/2013

INDICATIONS AND LIMITATIONS OF COVERAGE:

HCPCS CODES AND MODIFIERS:

DOCUMENTATION REQUIREMENTS:

Policy Article

Revision Effective Date: 01/01/2013

CODING GUIDELINES:

Manual Wheelchair Bases

LCD

Revision Effective Date: 03/01/2013 (March 2013 Publication)

INDICATIONS AND LIMITATIONS OF COVERAGE:

Revised: Coverage criteria for K0005 and E1161 to conform with DMEPOS Quality Standards as a complex rehabilitation product

DOCUMENTATION REQUIREMENTS:

Policy Article

Revision Effective Date: 03/01/2013

CODING GUIDELINES:

Wheelchair Options/Accessories

LCD

Revision Effective Date: 01/01/2013

HCPCS CODES AND MODIFIERS:

DOCUMENTATION REQUIREMENTS:

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Policy Article

Revision Effective Dated: 01/01/2013

CODING GUIDELINES:

Note: The information contained in this article is only a summary of revisions to LCDs and Policy Articles. For complete information on any topic, you must review the LCD and/or Policy Article at http://www.cms.gov/medicare-coverage-database/overview-and-quick-search.aspx.

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