LCD and Policy Article Revisions Summary for February 27, 2014

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

External Infusion Pumps
LCD

Revision Effective Date: 01/01/2014
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Revised: Section V.A to specify vincristine coverage is only for the non-liposomal form of the drug

Added:  Information that item(s) in policy are subject to ACA 6407 requirements

Revised: Specific ICD-9 diagnosis codes contained in the narrative are replaced with a reference to the applicable diagnosis code tables

DOCUMENTATION REQUIREMENTS:

Added: ACA 6407 information (requirements effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013 (February 2014 publication)

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (requirements effective 07/01/2013)

Ostomy Supplies

LCD

Revision History Effective Date: 01/01/2014
HCPCS CODES AND MODIFIERS:
Revised: A5081 narrative description

Pressure Reducing Support Surfaces - Group 3
LCD

Revision Effective Date: 11/01/2013 (February 2014 publication)
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Added: Information that item(s) in policy are subject to ACA 6407 requirements.
Revised: Specific ICD-9 diagnosis codes contained in the narrative are replaced with a reference to the applicable diagnosis code tables

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Added: ACA 6407 information (requirements effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013 (February 2014 publication)
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (requirements effective 07/01/2013)

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

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