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March 31, 2022

Policy Article Revisions Summary for March 31, 2022

Outlined below are the principal changes to the DME MAC Policy Article (PA) that has been revised and posted. The policy included is Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics). Please review the entire LCD and related PA for complete information.

Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics)

PA

Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) PAExternal website

Revision Effective Date: 04/01/2022

REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO Final Rule 1713 (84 Fed. Reg Vol 217):

  • Removed: "The link will be located here once it is available."
  • Added: "The required Face-to-Face Encounter and Written Order Prior to Delivery List is available here." with a hyperlink to the list

ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:

  • Removed: ICD-10-CM D49.4, D49.511, D49.512, D49.6, D49.89 from Group 1 due to NCD 110.18 update

03/31/2022: 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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