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April 13, 2023

LCD and Policy Article Revisions Summary for April 13, 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 Suction Pumps. Please review the entire LCD and related PA for complete information.

Suction Pumps

LCD

Suction Pumps LCDExternal Website

Revision Effective Date: 04/01/2023

HCPCS CODES:

  • Revised: Long descriptor for HCPCS code A4628

04/13/2023: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because they are non-discretionary updates to CMS HCPCS coding determinations.

PA

Suction Pumps PAExternal Website

Revision Effective Date: 04/01/2023

CODING GUIDELINES:

  • Revised: “An oropharyngeal” to “An oral and/or oropharyngeal” in reference to HCPCS code A4628

04/13/2023: 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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