Article Detail - JD DME
RETIRED - HCPCS Code E0571 Clarification - Invalid
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Article retired due to content incorporation into the applicable Local Coverage Determination or related Policy Article.
Posted February 17, 2011
Effective for dates of service on or after February 04, 2011, Healthcare Common Procedure Coding System (HCPCS) code E0571 (Aerosol compressor, battery powered, for use with small volume nebulizer) will be invalid for claim submission to the Durable Medical Equipment Medicare Administrative Contractors (DME MACs). Suppliers providing battery-powered aerosol compressors should bill existing HCPCS code E0570 (Nebulizer, with compressor).
Since code E0571 is a capped rental item and for dates of service prior to February 04, 2011 is subject to least costly alternative (LCA) payment policy, claims for code E0571 will continue to have LCA applied until the 13 month capped rental payment period is completed. New initial claims for E0571 on or after February 04, 2011 will be rejected as invalid coding.
Refer to the Nebulizers local coverage determination (LCD) for additional coverage, coding and documentation requirements.
Note that products previously coded E0571 by the Pricing, Data Analysis and Coding (PDAC) contractor will be end dated on February 03, 2011 and will be listed with E0570 with an effective date of February 04, 2011. These products will be listed on the Product Classification List which is located on DME Coding System (DMECS). DMECS is located on the PDAC web site: http://www.dmepdac.com.
