External Infusion Pumps

Coverage

Documentation

Reviews/Audits

  • Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review

Tips

Topic Details
Drugs Used With External Infusion Pumps
  • Coverage of drugs used with external infusion pumps may have differing denials. It is important for suppliers of these drugs to understand issues related to coverage and denials

 

Last Updated Aug 20, 2018

The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.

External Infusion Pump Drug Calculator - Now Available  Dec 29, 2017
External Infusion Pumps (HCPCS E0784) Notification of Service Specific Prepayment Probe Review  May 22, 2017
Correct Coding - JW Modifier Use - Revised - Effective for Claims with Dates of Service On or After January 1, 2017 DMD   Jun 16, 2016
Correct Coding - JW Modifier Use - Effective for Claims with Dates of Service On or After July 1, 2016 DMD   May 19, 2016
Billing for External Infusion Pumps and Drugs When Treatment Was Initiated Somewhere Other Than the Beneficiary’s Home DMD   May 05, 2016
RETIRED - Correct Coding Reminder - Duopa (AbbVie) DMD   Apr 28, 2016
Coverage and Correct Coding of YONDELIS DMD   Jan 07, 2016
Coverage and Correct Coding of Blincyto - Revised DMD   Jan 07, 2016
RETIRED - Coverage and Correct Coding of Duopa (Levodopa-Carbidopa Enteral Suspension) - Revised DMD   Jan 07, 2016
Updated External Infusion Pump Policy - Parenteral Inotropic Therapy FAQs DMD   Oct 15, 2015
Billing Instructions - Completing External Infusion Pump LCD DIF for Levodopa-Carbidopa Enteral Suspension DMD   Oct 15, 2015
External Infusion Pump - Response to Comment Summary DMD   Oct 01, 2015
Draft Policies Release for Comment Bulletin Article DMD   Jul 16, 2015