Policy Article Revisions Summary for February 7, 2019 - JD DME

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Eye Prostheses, Facial Prostheses, Lower Limb Prostheses, Manual Wheelchair Bases, Osteogenesis Stimulators, Parenteral Nutrition, and Refractive Lenses. Please review the entire LCDs and related PAs for complete information.

Eye Prostheses
PA
Revision Effective Date: 03/01/2019
CODING GUIDELINES:
Revised: RT and LT modifier billing instructions
Added: Coding guidelines for PROSE® device

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Facial Prostheses
PA
Revision Effective Date: 03/01/2019
CODING GUIDELINES:
Revised: RT and LT modifier billing instructions

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Lower Limb Prostheses
PA
Revision Effective Date: 03/01/2019
CODING GUIDELINES:
Revised: RT and LT modifier billing instructions

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Manual Wheelchair Bases
PA
Revision Effective Date: 01/01/2019
CODING GUIDELINES:
Added: Clarification of materials used in construction of manual wheelchair bases

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Osteogenesis Stimulators
PA
Revision Effective Date: 01/01/2017
CODING INFORMATION:
Removed: Bill type which was inadvertently added

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article and not a local coverage determination.
Parenteral Nutrition
PA
Revision Effective Date: 01/01/2019
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Removed: Method of administration from revised DIF requirements
Revised: Change in route of administration from revised DIF requirements

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article and not a local coverage determination.

Refractive Lenses
PA
Revision Effective Date: 03/01/2019
CODING GUIDELINES:
Revised: RT and LT modifier billing instructions
Added: Coding guidelines for PROSE® devices

02/07/2019: At this time 21st Century Cures Act applies to new and revised LCDs 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.