Tracheostomy Supplies - JA DME

Coverage

• Tracheostomy Care Supplies Local Coverage Determination (LCD)
• Tracheostomy Care Supplies Policy Article

Documentation

• Standard Documentation Requirements for All Claims Submitted to DME MACs
• Documentation Checklist - Tracheostomy Care Supplies [PDF] - Checklist to ensure suppliers gather all required documentation
• Clinician's Checklist - Tracheostomy Care Supplies [PDF] - Checklist to assist clinician's in determining what documentation they need to have available for suppliers

Reviews/Audits

• Medical Review - View notifications/findings or pre/post claim reviews completed by Noridian Medical Review

Bundling

Per the bundling table listed in Policy Article A52492

• When the bundled code listed in Column I is billed, the codes in Column II are not separately payable.
• When the codes in Column II are provided at the same time, it must be billed with the bundled code listed in Column I.