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March 30, 2023

LCD and Policy Article Revisions Summary for March 30, 2023

Outlined below are the principal changes to the DME MAC Local Coverage Determination (LCD) and Policy Article (PA) that have been revised and posted. The policy included is External Infusion Pumps. Please review the entire LCD and related PA for complete information.

External Infusion Pumps

LCD

External Infusion Pumps LCDExternal Website

Revision Effective Date: 04/01/2023

CODING INFORMATION:

  • Added: JK and JL modifiers to comply with the Inflation Reduction Act insulin coinsurance cap

03/30/2023: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because the revisions are non-discretionary updates per CMS HCPCS coding determinations.

PA

External Infusion Pumps PAExternal Website

Revision Effective Date: 04/01/2023

MODIFIERS:

  • Added: JK and JL modifier instructions to comply with the Inflation Reduction Act insulin coinsurance cap

03/30/2023: 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.

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