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January 31, 2019

Policy Article Revisions Summary for January 31, 2019

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Bowel Management Devices, Cervical Traction Devices, Heating Pads and Heating Lamps and Standard Documentation Requirements for All Claims Submitted to DME MACs. Please review the entire LCDs and related PAs for complete information.

Bowel Management Devices

Policy Article

Bowel Management Devices Policy ArticleExternal Website

Revision Effective Date: 01/01/2019

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:

  • Added: HCPCS code A4563 for vaginal inserts

01/31/2019: 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.

Cervical Traction Devices

Policy Article

Cervical Traction Devices Policy ArticleExternal Website

Revision Effective Date: 01/01/2019

CODING GUIDELINES:

  • Added: Coding guidelines for E0856

01/31/2019: 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.

Heating Pads and Heat Lamps

Policy Article

Heating Pads and Heat Lamps Policy ArticleExternal Website

Revision Effective Date: 01/01/2019

CODING GUIDELINES:

  • Revised: Certifying entities

01/31/2019: 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.

Standard Documentation Requirements for All Claims Submitted to DME MACs

Policy Article

Standard Documentation Requirements for All Claims Submitted to DME MACs Policy ArticleExternal Website

Revision Effective Date: 01/01/2019

DETAILED WRITTEN ORDERS (DWO):

  • Added: Exception to DWO when the prescribing practitioner is also the supplier

PROOF OF DELIVERY (POD):

  • Removed: Postage paid delivery invoice option from POD documentation

CORRECT CODING:

  • Removed: Link to PDAC Contact Form

01/31/2019: 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.

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