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February 7, 2019

Policy Article Revisions Summary for February 7, 2019

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Eye Prostheses, Facial Prostheses, Lower Limb Prostheses, Manual Wheelchair Bases, Osteogenesis Stimulators, Parenteral Nutrition, and Refractive Lenses. Please review the entire LCDs and related PAs for complete information.

Eye Prostheses

Policy Article

Eye Prostheses Policy ArticleExternal Website

Revision Effective Date: 03/01/2019

CODING GUIDELINES:

  • Revised: RT and LT modifier billing instructions
  • Added: Coding guidelines for PROSE® device

02/07/2019: 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.

Facial Prostheses

Policy Article

Facial Prostheses Policy ArticleExternal Website

Revision Effective Date: 03/01/2019

CODING GUIDELINES:

  • Revised: RT and LT modifier billing instructions

02/07/2019: 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.

Lower Limb Prostheses

Policy Article

Lower Limb Prostheses Policy ArticleExternal Website

Revision Effective Date: 03/01/2019

CODING GUIDELINES:

  • Revised: RT and LT modifier billing instructions

02/07/2019: 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.

Manual Wheelchair Bases

Policy Article

Manual Wheelchair Bases Policy ArticleExternal Website

Revision Effective Date: 01/01/2019

CODING GUIDELINES:

  • Added: Clarification of materials used in construction of manual wheelchair bases

02/07/2019: 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.

Osteogenesis Stimulators

Policy Article

Osteogenesis Stimulators Policy ArticleExternal Website

Revision Effective Date: 01/01/2017

CODING INFORMATION:

  • Removed: Bill type which was inadvertently added

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article and not a local coverage determination.

Parenteral Nutrition

Policy Article

Parenteral Nutrition Policy ArticleExternal Website

Revision Effective Date: 01/01/2019

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

  • Removed: Method of administration from revised DIF requirements
  • Revised: Change in route of administration from revised DIF requirements

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article and not a local coverage determination.

Refractive Lenses

Policy Article

Refractive Lenses Policy ArticleExternal Website

Revision Effective Date: 03/01/2019

CODING GUIDELINES:

  • Revised: RT and LT modifier billing instructions
  • Added: Coding guidelines for PROSE® devices

02/07/2019: 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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