LCD and Policy Article Revisions Summary for June 29 2017 - JA DME

Posted on June 29, 2017

Outlined below are the principal changes to the DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. The policy included is External Infusion Pumps. Please review the entire LCD and related PA for complete information.

External Infusion Pumps
LCD
Revision Effective Date: 01/01/2017

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Revised: Typographical error K0522 to correct code of K0552

Added: Coverage for Cuvitru (J7799) - effective 9/13/2016

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Revised: verbiage "prior to" to "to justify" Medicare reimbursement

Policy Article
Revision Effective Date: 01/01/2017

CODING GUIDELINES:

Revised: A4221 descriptor to include subcutaneous infusion catheter

Revised: Typographical error K0522 to correct code of K0552

Added: Coding guidelines for Cuvitru (J7799) - effective 9/13/2016

Note: The information contained in this article is only a summary of revisions to the LCDs and Policy Articles.  For complete information on any topic, you must review the LCDs and/or Policy Articles.