Article Detail - JA DME

Outlined below are the principal changes to the DME MAC Local Coverage Determinations (LCD) that has been revised and posted. The policy included is External Infusion Pumps. Please review the entire LCD and related Policy Article for complete information.

External Infusion Pumps
LCD
Revision Effective Date: 01/01/2021

HCPCS CODES:
Removed: HCPCS codes G0068, G0069, G0070 from Group 3 Codes. These HCPCS codes are invalid for submission to the DME MACs, effective 01/01/21.

12/31/2020: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because the revisions are non-discretionary updates to CMS HCPCS coding determinations.

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.
With the update listed above, Noridian would like to remind users how to find the policy that was previously effective. When billing, the supplier should follow guidance that was effective on the date of service. The below steps can be followed to find all previous policies:

1. Open the currently effective policy on the Medical Coverage Database (MCD)
   1. Links to the MCD can be found on the Active LCDs page on the Noridian website
      1. There is a link at the top of the Active LCD page that goes to a full list of the LCDs or PAs, depending on which link is selected OR
      2. There are direct links to all LCDs under the ‘LCD ID number and Effective Date' column
2. Scroll down to the bottom of the policy
3. Find the section labeled Public Version(s)
4. Look for the link to the policy that was effective on the dates of service in question
5. Click on hyperlink to go to the policy