Policy Article Revisions Summary for January 31, 2019 - JA DME

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Bowel Management Devices, Cervical Traction Devices, Heating Pads and Heating Lamps and Standard Documentation Requirements for All Claims Submitted to DME MACs. Please review the entire LCDs and related PAs for complete information.

Bowel Management Devices
PA
Revision Effective Date: 01/01/2019
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: HCPCS code A4563 for vaginal inserts

01/31/2019: 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.

Cervical Traction Devices
PA
Revision Effective Date: 01/01/2019
CODING GUIDELINES:
Added: Coding guidelines for E0856

01/31/2019: 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.

Heating Pads and Heat Lamps
PA
Revision Effective Date: 01/01/2019
CODING GUIDELINES:
Revised: Certifying entities

01/31/2019: 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.

Standard Documentation Requirements for All Claims Submitted to DME MACs
PA
Revision Effective Date: 01/01/2019
DETAILED WRITTEN ORDERS (DWO):
Added: Exception to DWO when the prescribing practitioner is also the supplier
PROOF OF DELIVERY (POD):
Removed: Postage paid delivery invoice option from POD documentation
CORRECT CODING:
Removed: Link to PDAC Contact Form

01/31/2019: 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.