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External Infusion Pumps

The Standard Written Order (SWO) requirements are in effect for dates of service January 1, 2020 and after.
Refer to the SWO page for the elements needed in this streamlined order.

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Documentation

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

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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 Thu, 07 Oct 2021 18:40:39 +0000

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.

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External Infusion Pumps & Glucose Monitors - Final LCDs and Response to Comments (RTC) Articles Published 06/03/2021
LCD and Policy Article Revisions Summary for June 3, 2021 06/03/2021
LCD and Policy Article Revisions Summary for July 23, 2020 07/23/2020
Insulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies - Codes E0787 and A4226 - Correct Coding 07/20/2020
Comment Period Closes June 15, 2020 for the External Infusion Pumps (DL33794) Proposed LCD 06/11/2020
External Infusion Pumps Final LCD (L33794) and Response to Comments (RTC) Article Published 04/16/2020
Medicare Part B Home Infusion Therapy Services With The Use of Durable Medical Equipment - Revised SE19029   12/16/2019
Correct Coding - JW Modifier Use - Effective for Claims with Dates of Service On or After July 1, 2016 DMD   05/19/2016
Billing for External Infusion Pumps and Drugs When Treatment Was Initiated Somewhere Other Than the Beneficiary’s Home DMD   05/05/2016
RETIRED - Correct Coding Reminder - Duopa (AbbVie) DMD   04/28/2016
RETIRED - Coverage and Correct Coding of Duopa (Levodopa-Carbidopa Enteral Suspension) - Revised DMD   01/07/2016
Coverage and Correct Coding of YONDELIS DMD   01/07/2016
Updated External Infusion Pump Policy - Parenteral Inotropic Therapy FAQs DMD   10/15/2015
Billing Instructions - Completing External Infusion Pump LCD DIF for Levodopa-Carbidopa Enteral Suspension DMD   10/15/2015
External Infusion Pump - Response to Comment Summary DMD   10/01/2015
Draft Policies Release for Comment Bulletin Article DMD   07/16/2015