LCD and Policy Article Revisions Summary for March 6 2014 - JA DME

Outlined below are the principal changes to DME MAC Local Coverage Determinations (LCDs) and a Policy Articles (PA) that have been revised and posted.  Please review the entire LCD and each related PA for complete information.

Automatic External Defibrillators
LCD

Revision Effective Date: 11/01/2013 (March 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 (revisions effective 07/01/2013)    

Policy Article

Revision Effective Date: 11/01/2013 (March 2014 Publication)

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (revisions effective 07/01/2013)

Hospital Beds and Accessories

LCD

Revision Effective Date: 11/01/2013 (March 2014 Publication)

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Added:  Information that item(s) in policy are subject to ACA 6407 requirements (effective 07/01/2013)

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Added: ACA 6407 information (requirements effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013 (March 2014 Publication)

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (revisions effective 07/01/2013)

Manual Wheelchair Bases

LCD

Revision Effective Date: 11/01/2013 (March 2014 Publication)

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Added:  Information that item(s) in policy are subject to ACA 6407 requirements (effective 07/01/2013)

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Added: ACA 6407 information (requirements effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013 (March 2014 Publication)

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES

Added: ACA 6407 information (requirements effective 07/01/2013)

Mechanical In-exsufflation Devices

LCD

Revision Effective Date: 11/01/2013 (March 2014 Publication)

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Added:  Information that item(s) in policy are subject to ACA 6407 requirements(effective 07/01/2013)

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Added: ACA 6407 information (effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (effective 07/01/2013)

Osteogenesis Stimulators

LCD

Revision Effective Date: 11/01/2013

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Added:  Information that item(s) in policy are subject to ACA 6407 requirements (effective 07/01/2013)

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 (effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013 (March 2014 Publication)

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (effective 07/01/2013)

Patient Lifts

LCD

Revision Effective Date: 11/01/2013 (March 2014 Publication)

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Added:  Information that item(s) in policy are subject to ACA 6407 requirements (effective 07/01/2013)

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Added: ACA 6407 information (effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013 (March 2014 Publication)

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 requirements (effective 07/01/2013)

Speech Generating Devices

LCD

Revision Effective Date: 11/01/2013 (March 2014 Publication)

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Added:  Information that item(s) in policy are subject to ACA 6407 requirements (effective 07/01/2013)

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Added: ACA 6407 information (effective 07/01/2013)

Policy Article

Revision Effective Date: 11/01/2013 (March 2014 Publication)

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: ACA 6407 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.