LCD and Policy Article Revisions Summary for October 22 2015 - JA DME

Outlined below are the principal changes to a DME MAC Local Coverage Determination (LCD) and a Policy Article (PA) that have been revised and posted. The policy included is Speech Generating Devices. Please review the entire LCD and related PA for complete information.

Speech Generating Devices
LCD
Revision Effective Date:  07/29/2015 (October 2015 Publication)
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Added: SGD definitional language from NCD 50.1
Added: Capability to download updates
Added: Gleason Act language for eye gaze accessories
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Added: Documentation requirement for SGD and accessories

Policy Article
Revision Effective Date:  07/29/2015 (October 2015 Publication)
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: SGD definitional language from NCD 50.1
Added: Non-coverage statements from NCD 50.1
CODING GUIDELINES:
Added: Description of HCPCS Code A4601
Added: Definitions of SGD accessories and examples

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