June 4, 2020
Policy Article Revisions Summary for June 4, 2020
Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Ankle-Foot/Knee-Ankle-Foot Orthosis, Ostomy Supplies and Surgical Dressings. Please review the entire LCDs and PAs for complete information.
Ankle-Foot/Knee-Ankle-Foot Orthosis
PA
Ankle-Foot/Knee-Ankle-Foot Orthosis PA
Revision Effective Date: 07/01/2020
ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY:
- Added: ICD-10 diagnosis codes E08.610, E09.610, E10.610, and E11.610 to Group 2 Codes for L4631
06/04/2020: 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.
Ostomy Supplies
PA
Revision Effective Date: 01/01/2020
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
- Added: Continued medical need language
06/04/2020: 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
Revision Effective Date: 01/01/2020
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
- Added: Directional statement regarding practitioner as supplier
- Added: Financial interest prohibition exception for practitioners who are also the supplier
- Revised: Format of HCPCS code references, from code ‘spans' to individually-listed
CODING GUIDELINES:
- Revised: Format of HCPCS code references, from code ‘spans' to individually-listed
06/04/2020: 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 PAs. For complete information on any topic, you must review the LCDs and/or PAs.