May 16, 2024
Policy Article Revisions Summary for May 16, 2024
Joint DME MAC Publication
Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are High Frequency Chest Wall Oscillation Devices, Mechanical In-exsufflation Devices, Nebulizers, Oral Appliances for Obstructive Sleep Apnea, Osteogenesis Stimulators, Oxygen and Oxygen Equipment, Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea, Respiratory Assist Devices and Suction Pumps. Please review the entire Local Coverage Determinations (LCDs) and related PAs for complete information.
High Frequency Chest Wall Oscillation Devices
PA
High Frequency Chest Wall Oscillation Devices PA
Revision Effective Date: 05/04/2023
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Section header and PDAC coding verification review (CVR) information, including CVR information pertaining to products coded E0467
05/16/2024: 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.
Mechanical In-exsufflation Devices
PA
Mechanical In-exsufflation Devices PA
Revision Effective Date: 10/01/2023
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Section header and PDAC coding verification review (CVR) information, including CVR information pertaining to products coded E0467
05/16/2024: 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.
Nebulizers
PA
Revision Effective Date: 01/01/2024
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Section header and PDAC coding verification review (CVR) information, including CVR information pertaining to products coded E0467
05/16/2024: 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 Appliances for Obstructive Sleep Apnea
PA
Oral Appliances for Obstructive Sleep Apnea PA
Revision Effective Date: 08/08/2021
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Direction for HCPCS Code E0467 from section
05/16/2024: 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.
Osteogenesis Stimulators
PA
Revision Effective Date: 07/02/2023
CODING GUIDELINES:
- Added: Statement regarding disposable equipment must be billed with A9270
05/16/2024: 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.
Oxygen and Oxygen Equipment
PA
Oxygen and Oxygen Equipment PA
Revision Effective Date: 04/01/2023
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Direction for HCPCS Code E0467 from section
05/16/2024: 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.
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
PA
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea PA
Revision Effective Date: 08/08/2021
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Section header and PDAC coding verification review (CVR) information, including CVR information pertaining to products coded E0467
05/16/2024: 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.
Respiratory Assist Devices
PA
Revision Effective Date: 08/08/2021
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Section header and PDAC coding verification review (CVR) information, including CVR information pertaining to products coded E0467
05/16/2024: 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.
Suction Pumps
PA
Revision Effective Date: 04/01/2023
CODING GUIDELINES:
- Removed: Coding and billing information pertaining to multifunction ventilators coded E0467
CODING VERIFICATION REVIEW:
- Removed: Direction for HCPCS Code E0467 from section
05/16/2024: 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.