Medical Director Articles - 2023

 
Title Brief Description Last Updated
RETIRED - PureWick Urine Collection System - Coding and Billing Instructions - Revised This article provides revised coding and billing instructions for Purewick. 12/28/23
HCPCS Codes K1018 and K1019 - Correct Coding - Revised This article provides revised coding instructions for HCPCS codes K1018 and K1019. 12/28/23
Powered Upper Extremity Exoskeleton - Correct Coding This article provides correct coding of powered upper extremity exoskeleton devices 12/28/23
Powered Lower Extremity Exoskeleton - Correct Coding This article provides correct coding of powered lower extremity exoskeleton devices 12/28/23
RETIRED - Lymphedema Compression Treatment Items - Correct Coding and Billing This publication provides billing and coding guidance pertinent to lymphedema compression treatment items, based on the Centers for Medicare & Medicaid Services’ (CMS’) Final Rule CMS-1780-F. 12/08/23
Oxygen Modifiers - Billing Reminder This article reminds suppliers how to appropriately use the oxygen modifiers. 11/30/23
2023 HCPCS Code Update - October Edition - Correct Coding This article identifies changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for October 2023. 09/28/23
L1681 Prefabricated Bilateral Hip Abduction Orthosis - Correct Coding This article describes HCPCS code L1681 (Prefabricated Bilateral Hip Abduction Orthosis) and provides correct coding of the item. 09/14/23
Correct Coding and Coverage of Ventilators - Revised This article provides revised information to suppliers about correct coding for ventilators. 09/07/23
Pneumatic Compression Devices - Final LCD and Response to Comments (RTC) Article Published This article announces the promotion of the proposed Pneumatic Compression Devices LCD to final. 09/07/23
2023 HCPCS Code Update - July Edition - Correct Coding This article informs suppliers about the July 2023 HCPCS code updates. 06/29/23
Open Meeting Agenda - External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) This article announces the agenda for the Open Meeting regarding the proposed External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination LCD. 06/13/23
Open Meeting Announcement - External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) This article announces the open meeting regarding a proposed LCD for external upper limb tremor stimulator therapy. 05/25/23
Proposed Local Coverage Determination (LCD) Released for Comment - External Upper Limb Tremor Stimulator Therapy This article announces the release of a proposed LCD for comment regarding external upper limb tremor stimulator therapy. 05/25/23
Claim Submission Instruction Post-PHE - Continued Use of Modifier CR and COVID Narrative - Revised This article provides revised post-PHE claim submission instructions. 05/18/23
Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms - Final LCDs and Response to Comments (RTC) Articles Published This article announces the final LCDs for Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms. 05/18/23
2023 HCPCS Code Update - April Edition - Correct Coding This article informs suppliers about the April 2023 HCPCS code updates. 05/04/23
RETIRED - Claim Submission Instruction Post-PHE - Continued Use of Modifier CR and COVID Narrative This article provides post-PHE claim submission instructions. 04/28/23
RETIRED - PureWick Urine Collection System - Coding and Billing Instructions - Revised This article informs suppliers about correct coding of the PureWick Urine Collection SystemTM and revised to add instructions for coding and billing of accessories. 04/13/23
RETIRED - HCPCS Codes K1018 and K1019 - Correct Coding - Revised This article provides correct coding instructions for HCPCS code K1018 and K1019. Revised due to long descriptor for HCPCS code K1019 update, effective April 1, 2023 03/23/23
Open Meeting Teleconference Information and Agenda – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) This article announces the agenda and call in information for the Open Meeting regarding the proposed LCDs Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms. 03/09/23
Glucose Monitors - Final LCD and Response to Comments (RTC) Article Published This article announces that the DME MACs have published a final LCD and Response to Comments article as a response to an LCD reconsideration request. 03/02/23
Open Meeting Announcement - Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) This article announces an Open Meeting for proposed LCDs Enteral Nutrition, Osteogenesis Stimulatotors, Parenteral Nutrition and Seat Lift Mechanisms. A registration link for this meeting is provided. 02/09/23
Proposed Local Coverage Determinations (LCDs) Released for Comment - Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms We are soliciting comments on the proposed LCDs for Enteral Nutrition, Osteogenesis Stimulatotors, Parenteral Nutrition and Seat Lift Mechanisms. Specific email address for each policy and deadlines provided. We encourage a written response regardless of your agreement or disagreement with the proposed LCDs. 02/09/23
2023 HCPCS Code Update - January Edition - Correct Coding This article identifies changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for January 2023. 01/19/23
KX Modifier Use for External Infusion Pumps The KX, GA, and GZ modifiers for all external infusion pumps, drugs, and supplies which are eligible for coverage will only be required for use on claims with a date of receipt on or after March 1, 2023, to allow ample time for suppliers to make any necessary systems changes. Modifier requirements for J1817 and E0784 have not changed. 01/12/23
RETIRED - New N-Modifiers for Oxygen Three new modifiers have been created for Oxygen and Oxygen Equipment. Until the Oxygen and Oxygen Equipment LCD and LCD-related PA are revised, suppliers are instructed to continue to follow the current Oxygen and Oxygen Equipment LCD-related PA instructions for the use of the KX modifier. 01/10/23
Last Updated Mar 28 , 2024