LCD and Policy Article Summary for June 8 2017 - Drafts Released to Final - JA DME
LCD and Policy Article Summary for June 8, 2017 - Drafts Released to Final
Posted June 8, 2017
Draft Surgical Dressings Local Coverage Determination and Policy Article have been finalized.
The medical policy will be effective for claims with dates of service on or after July 24, 2017. The notice period start date is June 8, 2017 and the notice period end date is July 23, 2017.
Surgical Dressings
LCD
Revision Effective Date: 07/24/2017
COVERAGE INDICATIONS, INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Removed: Standard Documentation Language
Added: New reference language and directions to Standard Documentation Requirements
Added: General Requirements
Revised: Refill Requirements
DOCUMENTATION REQUIREMENTS:
Removed: Standard Documentation Language
Added: General Documentation Requirements
Added: New reference language and directions to Standard Documentation Requirements
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Removed: Standard Documentation Language
Added: Direction to Standard Documentation Requirements
Removed: Supplier Manual reference from Miscellaneous section
Removed: PIM reference under Appendices
Revised: Pressure ulcer staging criteria per NPUAP 2016 Staging Consensus Conference
SOURCES OF INFORMATION AND BASIS FOR DECISION:
Revised: Updated bibliography
RELATED LOCAL COVERAGE DOCUMENTS:
Added: LCD-related Standard Documentation Requirements article
Policy Article
Revision Effective Date: 07/24/2017
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Added: Order and Modifier requirements
RELATED LOCAL COVERAGE DOCUMENTS:
Added: LCD-related Standard Documentation Requirements Language Article
Review the entire LCD, the related Policy Article, and the Standard Documentation Requirements Article for coverage, coding and documentation requirements. The Response to Comments Summary is attached to the LCD.
