Tracheostomy Supplies - JA DME
Tracheostomy Supplies
Coverage
- Tracheostomy Care Supplies Local Coverage Determination (LCD)
- Tracheostomy Care Supplies Policy Article
Documentation
- Standard Documentation Requirements for All Claims Submitted to DME MACs
- Documentation Checklist - Tracheostomy Care Supplies [PDF] - Checklist to ensure suppliers gather all required documentation
- Clinician's Checklist - Tracheostomy Care Supplies [PDF] - Checklist to assist clinician's in determining what documentation they need to have available for suppliers
Reviews/Audits
- Medical Review - View notifications/findings or pre/post claim reviews completed by Noridian Medical Review
Bundling
Per the bundling table listed in Policy Article A52492
- When the bundled code listed in Column I is billed, the codes in Column II are not separately payable.
- When the codes in Column II are provided at the same time, it must be billed with the bundled code listed in Column I.
| Column I | Column II |
|---|---|
| A4625 | A4626 |
| A4629 | A4626 |
Last Updated Wed, 12 Oct 2022 16:48:19 +0000