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July 16, 2020

Policy Article Revisions Summary for July 16, 2020

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, Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea, Respiratory Assist Devices, and Suction Pumps. Please review the entire LCDs and PAs for complete information.

High Frequency Chest Wall Oscillation Devices

PA

High Frequency Chest Wall Oscillation Devices PAExternal Website

Revision Effective Date: 04/03/2020

CODING GUIDELINES:

  • Revised: Guidance for billing HCPCS code E0467 based on DOS

07/16/2020: 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 PAExternal Website

Revision Effective Date: 04/03/2020

CODING GUIDELINES:

  • Revised: Guidance for billing HCPCS code E0467 based on DOS

07/16/2020: 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.

Nebulizers

PA

Nebulizers PAExternal Website

Revision Effective Date: 05/17/2020

CODING GUIDELINES:

  • Revised: Guidance for billing HCPCS code E0467 based on DOS (Effective April 3, 2020)

07/16/2020: 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 Appliances for Obstructive Sleep Apnea

PA

Oral Appliances for Obstructive Sleep Apnea PAExternal Website

Revision Effective Date: 04/03/2020

CODING GUIDELINES:

  • Revised: Guidance for billing HCPCS code E0467 based on DOS

07/16/2020: 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.

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 PAExternal Website

Revision Effective Date: 04/03/2020

CODING GUIDELINES:

  • Revised: Guidance for billing HCPCS code E0467 based on DOS

07/16/2020: 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.

Respiratory Assist Devices

PA

Respiratory Assist Devices PAExternal Website

Revision Effective Date: 04/03/2020

CODING GUIDELINES:

  • Revised: Guidance for billing HCPCS code E0467 based on DOS

07/16/2020: 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.

Suction Pumps

PA

Suction Pumps PAExternal Website

Revision Effective Date: 04/03/2020

CODING GUIDELINES:

  • Revised: Guidance for billing HCPCS code E0467 based on DOS

07/16/2020: 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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