LCD and Policy Article Revisions Summary for February 27 2014 - JA DME
LCD and Policy Article Revisions Summary for February 27, 2014
Outlined below are the principal changes to
External Infusion Pumps
LCD
Revision Effective Date: 01/01/2014
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Section V.A to specify vincristine coverage is only for the non-liposomal form of the drug
Added: Information that item(s) in policy are subject to ACA 6407 requirements
Revised: Specific ICD-9 diagnosis codes contained in the narrative are replaced with a reference to the applicable diagnosis code tables
DOCUMENTATION REQUIREMENTS:
Added: ACA 6407 information (requirements effective 07/01/2013)
Policy Article
Revision Effective Date: 11/01/2013 (February 2014 publication)
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (requirements effective 07/01/2013)
Ostomy Supplies
LCD
Revision History Effective Date: 01/01/2014
HCPCS CODES AND MODIFIERS:
Revised: A5081 narrative description
Pressure Reducing Support Surfaces - Group 3
LCD
Revision Effective Date: 11/01/2013 (February 2014 publication)
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Added: Information that item(s) in policy are subject to ACA 6407 requirements.
Revised: Specific ICD-9 diagnosis codes contained in the narrative are replaced with a reference to the applicable diagnosis code tables
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Added: ACA 6407 information (requirements effective 07/01/2013)
Policy Article
Revision Effective Date: 11/01/2013 (February 2014 publication)
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (requirements effective 07/01/2013)
Note: The information contained in this article is only a summary of revisions to LCDs and Policy Articles. For complete information on any topic, you must review the LCD and/or Policy Article.
