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.

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 Feb 05, 2020

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.

Medicare Part B Home Infusion Therapy Services With The Use of Durable Medical Equipment - Revised SE19029   Dec 16, 2019
Policy Article Revisions Summary for July 25, 2019 - Now Available  Jul 25, 2019
Correct Coding - U 500 Insulin for Use in External Insulin Infusion Pumps  Dec 06, 2018
Temporary Transitional Payment for HIT Services for CYs 2019 and 2020 CR10836   Nov 05, 2018
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
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