2024 - JA DME
Medical Director Articles - 2024
| Title | Brief Description | Last Updated |
|---|---|---|
| Policy Article Revisions Summary for June 27, 2024 | This article outlines principal changes to the DME MAC Policy Article that has been revised and posted. | 06/27/24 |
| Policy Article Revisions Summary for June 20, 2024 | This article outlines principal changes to the DME MAC Policy Article that has been revised and posted. | 06/20/24 |
| Policy Article Revisions Summary for June 13, 2024 | This article outlines principal changes to the DME MAC Policy Article that has been revised and posted. | 06/13/24 |
| Policy Article Revisions Summary for June 6, 2024 | This article outlines principal changes to the DME MAC Policy Articles that have been revised and posted. | 06/06/24 |
| Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1951) and Osteogenesis Stimulator (E0747, E0748, E0760) | The DME MACs are issuing a Coding Verification Requirement for L1843, L1951, E0747, E0748, and E0760 effective for claims with dates of service on or after December 1, 2024. | 05/30/24 |
| Policy Article Revisions Summary for May 16, 2024 | This article outlines principal changes to the DME MAC Policy Articles that have been revised and posted. | 05/16/24 |
| Policy Article Revisions Summary for May 9, 2024 | This article outlines principal changes to the DME MAC Policy Articles that have been revised and posted. | 05/09/24 |
| Code Verification Review Requirement for Multi-Functional Ventilators | The only products which may be billed using the multi-function ventilator HCPCS codes are those that have received mandatory code verification review and are listed on the Product Classification List (PCL) of the Pricing. | 05/09/24 |
| Correct Billing and Coding of Ventilators | Equipment with multifunction capability creates the possibility of errors in claims submitted for these items. This article will discuss the application of Medicare proper coding and payment rules for ventilators. | 05/09/24 |
| LCD and Policy Article Revisions Summary for May 2, 2024 | This article outlines principal changes to the DME MAC LCDs and Policy Articles that have been revised and posted. | 05/02/24 |
| RETIRED - Correct Coding of ActaStim-S Spine Fusion Stimulator | This article outlines principal changes to the DME MAC LCDs and Policy Articles that have been revised and posted. | 05/02/24 |
| 2024 HCPCS Code Update - April Edition - Correct Coding | This article identifies changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for April 2024. | 04/11/24 |
| LCD Revisions Summary for April 4, 2024 | This article outlines principal changes to the DME MAC LCD that has been revised and posted. | 04/04/24 |
| PureWick Urine Collection System - Coding and Billing Instructions - Revised | This article provides revised coding and billing instructions for Purewick. | 03/28/24 |
| Policy Article Revisions Summary for March 21, 2024 | This article outlines principal changes to the DME MAC Policy Articles that have been revised and posted. | 03/21/24 |
| Policy Article Revisions Summary for March 14, 2024 | This article outlines principal changes to the DME MAC Policy Articles that have been revised and posted. | 03/14/24 |
| Policy Article Revisions Summary for March 7, 2024 | This article outlines principal changes to the DME MAC Policy Article that has been revised and posted. | 03/07/24 |
| Policy Article Revisions Summary for February 29, 2024 | This article outlines principal changes to the DME MAC Policy Article that has been revised and posted. | 02/29/24 |
| Lymphedema Compression Treatment Items - Correct Coding and Billing - Revised | This article 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 and provides a revised denial statement for garments, related supplies and accessories for non-lymphedema diagnoses. | 02/29/24 |
| External Infusion Pumps and Related Drugs - Revised | This revised article outlines how drugs are covered under the DME benefit for an external infusion pump. | 02/22/24 |
| External Upper Limb Tremor Stimulator Therapy - Final LCD and Response to Comments (RTC) Article Published | This article announces the final LCD and Response to Comments articles is published. | 02/22/24 |
| LCD Revisions Summary for February 15, 2024 | This article outlines principal changes to the DME MAC LCD that has been revised and posted. | 02/15/24 |
| Open Meeting Agenda - Lower Limb Prostheses Proposed Local Coverage Determination (LCD) | This article announces the agenda for the LLP open meeting scheduled for February 22, 2024. | 02/08/24 |
| Policy Article Revisions Summary for February 8, 2024 | This article outlines principal changes to the DME MAC Policy Articles that has been revised and posted. | 02/08/24 |
| 3-D Printed Orthotic Devices - Correct Coding | This article addresses recent inquiries and concerns regarding additive manufacturing (i.e., 3D printing) of orthotic devices. | 02/01/24 |
| Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - Revised | This article outlines the differences between off-the-shelf versus custom fitted prefabricated orthotics. | 02/01/24 |
| RETIRED - External Infusion Pumps and Related Drugs | This article outlines how drugs are covered under the DME benefit for an external infusion pump. | 01/25/24 |
| Lymphedema Compression Treatment Items Requirement for Registration with the Food and Drug Administration | This article reminds suppliers that a medical device, including lymphedema compression treatment items, at a minimum, must be registered with the FDA. | 01/25/24 |
| LCD Revisions Summary for January 25, 2024 | This article outlines principal changes to the DME MAC LCDs that has been revised and posted. | 01/25/24 |
| Policy Article Revisions Summary for January 18, 2024 | This article outlines principal changes to the DME MAC Policy Article that has been revised and posted. | 01/18/24 |
| Open Meeting Announcement - Lower Limb Prostheses Proposed Local Coverage Determination (LCD) | This article announces an open meeting for the proposed Lower Limb Prostheses LCD. | 01/18/24 |
| Proposed Local Coverage Determination (LCD) Released for Comment - Lower Limb Prostheses | This article announces the release of the proposed Lower Limb Prostheses LCD. | 01/18/24 |
| RETIRED - Home Assessment for Manual Wheelchairs - Reminder | This article reminds suppliers of the home assessment for manual wheelchairs and to fully document the home assessment. | 01/18/24 |
| Items Provided on a Recurring Basis and Request for Refill Requirements - Annual Reminder - January 2024 | This article is an annual reminder regarding request for refill requirements as required by the CMS Internet Only Manual (IOM) publication 100-04, Chapter. 20, Section. 200 | 01/04/24 |
| 2024 HCPCS Code Update - January Edition - Correct Coding | This article identifies changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for January 2024. | 01/04/24 |
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