Medical Director Articles - 2022

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Title Brief Description Last Updated
CMS Issues Interim Final Rules with Comment (CMS-1744- IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency - Revised On April 6, 2020, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment (CMS-1744-IFC), establishing that certain requirements for face-to-face/in-person encounters will not apply during the COVID-19 public health emergency. 06/03/22
Nebulizers - Final LCD and Response to Comments (RTC) Article Published This article announces the final LCD for Nebulizers and the Response to Comment document. 04/21/22
2022 HCPCS Code Update - April Edition - Correct Coding - Revised This article identifies revised changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for April 2022 04/14/22
RETIRED - 2022 HCPCS Code Update - April Edition - Correct Coding This article identifies changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for April 2022. 03/31/22
Code Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650) This article provides instructions for PDAC code verification reviews for certain lower limb orthoses devices and lumbar sacral orthoses devices. 03/31/22
Upper Limb Prostheses - Correct Coding The DME MACs and the Pricing, Data Analysis and Coding (PDAC) Contractor want to remind DMEPOS suppliers about the correct coding of upper limb prostheses. 03/31/22
PDAC Code Verification Reviews for CGM Devices - Coding and Billing This article provides instructions for PDAC code verification reviews for CGM devices. 03/17/22
Correct Coding and Billing of Halo Procedure The DME MACs and the Pricing, Data Analysis and Coding (PDAC) Contractor want to remind DMEPOS suppliers about the correct coding and billing for a halo procedure. 03/17/22
Continuous Glucose Monitors - Correct Coding and Billing - Revised This article provides revised correct coding instructions for continuous glucose monitors, both non-adjunctive and adjunctive. 03/17/22
RETIRED - Continuous Glucose Monitors - Correct Coding and Billing This article provides correct coding instructions for continuous glucose monitors, both non-adjunctive and adjunctive. 02/24/22
Irrigation Supply Sleeves - Correct Coding This article provides correct coding instructions for irrigation supple sleeves HCPCS codes A4436 and A4437 which replaces discontinued HCPCS code A4397. 02/10/22
Completion of Certificates of Medical Necessity (CMN) - Annual Reminder [PDF] Annual reminder regarding the completion of the Certificate of Medical Necessity, commonly known as CMNs, which are documents used by the DME MACs to assist in gathering information about the medical necessity of an item. 01/20/22
Items Provided on a Recurring Basis and Request for Refill Requirements - Annual Reminder - January 2022 Annual reminder for all DMEPOS items and supplies provided on a recurring basis, billing must be based on prospective, not retrospective use. 01/20/22
HCPCS Codes K1018 and K1019 - Correct Coding This article provides correct coding instructions for HCPCS code K1018 and K1019. 01/20/22

 

Last Updated Fri, 03 Jun 2022 14:44:39 +0000