Retirement of Parenteral Nutrition Local Coverage Determination (LCD) and Related Policy Article - Effective November 12, 2020

Joint DME MAC Article
Posted October 8, 2020

Chapter 13, Section 13.3 of the CMS Program Integrity Manual (CMS Pub. 100-08) grants Medicare Administrative Contractors (MACs) the discretion to revise or retire their Local Coverage Determinations (LCDs) at any time on their own initiative. The DME MACs will be retiring the Parenteral Nutrition LCD (L33798) and related Policy Article (A52515), effective for claims with dates of service on or after November 12, 2020, due to the evolution of parenteral nutrition clinical paradigms.

Parenteral nutrition is covered under the Prosthetic Device benefit (Social Security Act § 1861(s)(8)), and coverage is further outlined in the National Coverage Determinations (NCD) Manual (CMS Pub. 100-03), Chapter 1, Section 180.2. With the retirement of the LCD and Policy Article, providers and suppliers should refer to the CMS NCD 180.2 - Enteral and Parenteral Nutritional Therapy, which addresses coverage criteria for enteral and parenteral nutrition. In addition, providers and suppliers should review the recently published joint DME MAC correct coding article entitled “Parenteral Nutrition - Correct Coding and Billing” for more information regarding coverage and billing of parenteral nutrition.

For claims with dates of service prior to November 12, 2020, please visit the Medicare Coverage Database (MCD) to access the retired LCD and Policy Article.

Note: LCDs and Policy Articles that have been retired for less than one year are housed on the MCD. LCDs and Policy Articles that have been retired for one year or more are accessible on the MCD Archive.

Publication History

Date of Change Description
October 8, 2020 Originally Published

 

Last Updated Thu, 08 Oct 2020 12:30:19 +0000