LCD and Policy Article Revisions Summary for April 26 2018 - JA DME

Outlined below are the principal changes to the DME MAC Local Coverage Determinations (LCD) and Policy Articles (PA) for Therapeutic Shoes for Persons with Diabetes that has been revised and posted. Please review the entire LCD and related PA for complete information.

Therapeutic Shoes for Persons with Diabetes
LCD
Revision Effective Date: 04/01/2018
HCPCS CODES:
Added: K0903 to Group 1 Codes, per quarterly HCPCS code release (effective 04/01/2018)

04/26/2018: At this time 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy.

PA
Revision Effective Date: 04/01/2018
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: coverage allowances for K0903
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Add: Clarifying language regarding Certifying Physician
CODING GUIDELINES:  
Added: Coding guidelines for K0903
Added: PDAC verification requirements for K0903

04/26/2018:  At this time 21st Century Cures Act applies to new and revised LCDs that restrict coverage, 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.