LCD and Policy Article Revisions Summary for March 19 2015 - JA DME

Outlined below are the principal changes to DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. Please review each entire LCD and each related PA for complete information.

Heating Pads and Heat Lamps

LCD

Revision Effective Date: 10/31/2014
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Standard Documentation Language regarding Medicare coverage
DOCUMENTATION REQUIREMENTS:
Added: Instructions for Refill Documentation
Revised: Standard Documentation Language to add who can enter date of delivery date on the POD
Revised: Moved Continued Need above Continued Use documentation
Added: Equipment Retained from a Prior Payer
Added: Instructions for Repair Replacement to beneficiary-owned DMEPOS

High Frequency Chest Wall Oscillation Devices

LCD

Revision Effective Date: 10/31/2014
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Standard Documentation Language to add covered prior to a beneficiary's Medicare eligibility
Removed: Refill Requirements
DOCUMENTATION REQUIREMENTS:
Revised: Standard Documentation Language to add who can enter date of delivery date on the POD
Removed: Request for refill documentation requirements
Added: Instructions for Equipment Retained from a Prior Payer
Added: Instructions for Repair Replacement

Policy Article

Revision Effective Date: 10/31/2014
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES
Removed: "When required by state law" from ACA new prescription requirements
Revised: Face-to-Face Requirements for treating practitioner

Note: The information contained in this article is only a summary of revisions to the LCDs and Policy Articles. For complete information on any topic, you must review the LCD and/or Policy Article.