September 21, 2023
Policy Article Revisions Summary for September 21, 2023
Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Automatic External Defibrillators, External Infusion Pumps, Mechanical In-exsufflation Devices, Oral Anticancer Drugs, Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) and Wheelchair Seating. Please review the entire Local Coverage Determinations (LCDs) and related PAs for complete information.
Automatic External Defibrillators
PA
Automatic External Defibrillators PA
Revision Effective Date: 10/01/2023
ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:
- Added: ICD-10-CM code I21.B to Groups 1 and 2 Codes due to ICD-10-CM code updates
09/21/2023: 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.
External Infusion Pumps
PA
Revision Effective Date: 10/01/2023
ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:
- Removed: ICD-10-CM code G20 from Group 4 Codes due to ICD-10-CM code updates
- Added: ICD-10-CM codes G20.A1, G20.A2, G20.B1, G20.B2 to Group 4 Codes due to ICD-10-CM code updates
09/21/2023: 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.
Mechanical In-exsufflation Devices
PA
Mechanical In-exsufflation Devices PA
Revision Effective Date: 10/01/2023
ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:
- Added: ICD-10-CM code E74.05 to Group 1 Codes due to ICD-10-CM code updates
09/21/2023: 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.
Oral Anticancer Drugs
PA
Revision Effective Date: 10/01/2023
ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:
- Removed: ICD-10-CM code D48.1 from Group 7 Codes due to ICD-10-CM code updates
- Added: ICD-10-CM codes D48.110, D48.111, D48.112, D48.113, D48.114, D48.115, D48.116, D48.117, D48.118, D48.119, D48.19 to Group 7 Codes due to ICD-10-CM code updates
09/21/2023: 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.
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics)
PA
Revision Effective Date: 10/01/2023
ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:
- Removed: ICD-10-CM code D48.1 from Group 1 Codes due to ICD-10-CM code updates
- Added: ICD-10-CM codes D48.110, D48.111, D48.112, D48.113, D48.114, D48.115, D48.116, D48.117, D48.118, D48.119, D48.19 to Group 1 Codes due to ICD-10-CM code updates
09/21/2023: 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.
Wheelchair Seating
PA
Revision Effective Date: 10/01/2023
ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:
- Removed: ICD-10-CM codes G20 and G37.8 from Group 2 and Group 4 Codes, due to ICD-10-CM code updates
- Added: ICD-10-CM codes E75.27, E75.28, G20.A1, G20.A2, G20.B1, G20.B2, G20.C, G31.80, G31.86, G37.81, and G37.89 to Group 2 and Group 4 Codes, due to ICD-10-CM code updates
- Added: ICD-10-CM code G31.89 to Group 2 and Group 4 Codes
09/21/2023: 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.