| LCD & Policy Article Revisions for March 11, 2010 |
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LCD and Policy Article RevisionsSummary for March 11, 2010 Outlined below are the principal changes to several DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. Please review the entire LCD and each related Policy Article for complete information. External Breast Prostheses LCDRevision Effective Date: 01/01/2010INDICATIONS AND LIMITATIONS OF COVERAGE AND/OR MEDICAL NECESSITY:Added: Coverage information specific to mastectomy bras (L8000)Added: Coverage information specific to breast prostheses, silicone or equal, with integral adhesive (L8031)Added: Coverage information on quantity dispensed at a timeHCPCS CODES AND MODIFIERS:Added: L8031, L8032Revised: L8030 Policy ArticleRevision Effective Date: 01/01/2010NON-MEDICAL NECESSITY AND COVERAGE AND PAYMENT RULES:Added: Nipple prostheses have a 3 month reasonable lifetime expectancyCODING GUIDELINES:Added: Description for L8000Revised: RT/LT modifier instructionsChanged: SADMERC to PDAC Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea LCDRevision Effective Date: 04/01/2010 (February 2010 Revision)INDICATIONS AND LIMITATIONS OF COVERAGE:Added: Program Integrity Manual instructions on refills of accessoriesAdded: Replacement instructions for beneficiaries already in MedicareRevised: Types of sleep testsRevised: Coverage of replacement devices and/or accessoriesRevised: Beneficiaries entering Medicare instructionsDOCUMENTATION REQUIREMENTS:Added: Replacement instructions for beneficiaries already in MedicareRevised: Documentation of replacement devices and/or accessoriesRevised: Beneficiaries entering Medicare instructions Policy ArticleRevision Effective Date: 04/01/2010CODING GUIDELINES:Revised: Use of RAD termRevised: Definition of E0470 and E0471 Spinal Orthoses: TLSO and LSOPolicy ArticleRevision Effective Date: 07/01/2010CODING GUIDELINES:Revised: Requirement for coding verification review by the PDAC. Note: The information contained in this article is only a summary of revisions to LCDs and Policy Articles. For complete information on any topic, you must review the LCD and/or Policy Article. Registration and playback for the "On Demand" Medicare University 2009 Virtual Convention has been extended by popular demand to March 31, 2010. National Government Services has extended the availability for registration and playback of the 2009 Medicare University Virtual Convention "On Demand" courses through March 31, 2010. For the low cost of $150, you have access to over 60 unique on-demand courses, not offered through Medicare University, at a time that is convenient for you. Plus, you can earn as many as 57 continuing education units! Visit the Course page on the Medicare University 2009 Virtual Convention Web site to view a list of all the on-demand courses. After March 31, 2010 there is no turning back, so register today at www.NGSMEDICARECONVENTION.com Remember! National Government Services' Jurisdiction B DME MAC List Serve is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank you! National Government Services encourages all Web site users to provide feedback regarding ways to improve our Web site. The ForeSee Results (pop-up) survey is an easy mechanism for providers to use to let us know how we can best serve you. Your comments play a large role in the enhancements that are made to the National Government Services Web site. CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message. To unsubscribe/change profile: click here. Email list management powered by http://MailerMailer.com |