2023 - JA DME
Medical Director Articles - 2023
| Title | Brief Description | Last Updated |
|---|---|---|
| RETIRED - PureWick Urine Collection System - Coding and Billing Instructions - Revised | This article provides revised coding and billing instructions for Purewick. | 12/28/23 |
| HCPCS Codes K1018 and K1019 - Correct Coding - Revised | This article provides revised coding instructions for HCPCS codes K1018 and K1019. | 12/28/23 |
| Powered Upper Extremity Exoskeleton - Correct Coding | This article provides correct coding of powered upper extremity exoskeleton devices | 12/28/23 |
| Powered Lower Extremity Exoskeleton - Correct Coding | This article provides correct coding of powered lower extremity exoskeleton devices | 12/28/23 |
| RETIRED - Lymphedema Compression Treatment Items - Correct Coding and Billing | This publication provides billing and coding guidance pertinent to lymphedema compression treatment items, based on the Centers for Medicare & Medicaid Services’ (CMS’) Final Rule CMS-1780-F. | 12/08/23 |
| Oxygen Modifiers - Billing Reminder | This article reminds suppliers how to appropriately use the oxygen modifiers. | 11/30/23 |
| 2023 HCPCS Code Update - October Edition - Correct Coding | This article identifies changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for October 2023. | 09/28/23 |
| L1681 Prefabricated Bilateral Hip Abduction Orthosis - Correct Coding | This article describes HCPCS code L1681 (Prefabricated Bilateral Hip Abduction Orthosis) and provides correct coding of the item. | 09/14/23 |
| RETIRED - Correct Coding and Coverage of Ventilators - Revised | This article provides revised information to suppliers about correct coding for ventilators. | 09/07/23 |
| Pneumatic Compression Devices - Final LCD and Response to Comments (RTC) Article Published | This article announces the promotion of the proposed Pneumatic Compression Devices LCD to final. | 09/07/23 |
| 2023 HCPCS Code Update - July Edition - Correct Coding | This article informs suppliers about the July 2023 HCPCS code updates. | 06/29/23 |
| Open Meeting Agenda - External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) | This article announces the agenda for the Open Meeting regarding the proposed External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination LCD. | 06/13/23 |
| Open Meeting Announcement - External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) | This article announces the open meeting regarding a proposed LCD for external upper limb tremor stimulator therapy. | 05/25/23 |
| Proposed Local Coverage Determination (LCD) Released for Comment - External Upper Limb Tremor Stimulator Therapy | This article announces the release of a proposed LCD for comment regarding external upper limb tremor stimulator therapy. | 05/25/23 |
| Claim Submission Instruction Post-PHE - Continued Use of Modifier CR and COVID Narrative - Revised | This article provides revised post-PHE claim submission instructions. | 05/18/23 |
| Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms - Final LCDs and Response to Comments (RTC) Articles Published | This article announces the final LCDs for Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms. | 05/18/23 |
| 2023 HCPCS Code Update - April Edition - Correct Coding | This article informs suppliers about the April 2023 HCPCS code updates. | 05/04/23 |
| RETIRED - Claim Submission Instruction Post-PHE - Continued Use of Modifier CR and COVID Narrative | This article provides post-PHE claim submission instructions. | 04/28/23 |
| RETIRED - PureWick Urine Collection System - Coding and Billing Instructions - Revised | This article informs suppliers about correct coding of the PureWick Urine Collection SystemTM and revised to add instructions for coding and billing of accessories. | 04/13/23 |
| RETIRED - HCPCS Codes K1018 and K1019 - Correct Coding - Revised | This article provides correct coding instructions for HCPCS code K1018 and K1019. Revised due to long descriptor for HCPCS code K1019 update, effective April 1, 2023 | 03/23/23 |
| Open Meeting Teleconference Information and Agenda – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) | This article announces the agenda and call in information for the Open Meeting regarding the proposed LCDs Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms. | 03/09/23 |
| Glucose Monitors - Final LCD and Response to Comments (RTC) Article Published | This article announces that the DME MACs have published a final LCD and Response to Comments article as a response to an LCD reconsideration request. | 03/02/23 |
| Open Meeting Announcement - Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) | This article announces an Open Meeting for proposed LCDs Enteral Nutrition, Osteogenesis Stimulatotors, Parenteral Nutrition and Seat Lift Mechanisms. A registration link for this meeting is provided. | 02/09/23 |
| Proposed Local Coverage Determinations (LCDs) Released for Comment - Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms | We are soliciting comments on the proposed LCDs for Enteral Nutrition, Osteogenesis Stimulatotors, Parenteral Nutrition and Seat Lift Mechanisms. Specific email address for each policy and deadlines provided. We encourage a written response regardless of your agreement or disagreement with the proposed LCDs. | 02/09/23 |
| 2023 HCPCS Code Update - January Edition - Correct Coding | This article identifies changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for January 2023. | 01/19/23 |
| KX Modifier Use for External Infusion Pumps | The KX, GA, and GZ modifiers for all external infusion pumps, drugs, and supplies which are eligible for coverage will only be required for use on claims with a date of receipt on or after March 1, 2023, to allow ample time for suppliers to make any necessary systems changes. Modifier requirements for J1817 and E0784 have not changed. | 01/12/23 |
| RETIRED - New N-Modifiers for Oxygen | Three new modifiers have been created for Oxygen and Oxygen Equipment. Until the Oxygen and Oxygen Equipment LCD and LCD-related PA are revised, suppliers are instructed to continue to follow the current Oxygen and Oxygen Equipment LCD-related PA instructions for the use of the KX modifier. | 01/10/23 |
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