Policy Article Revisions Summary for July 19, 2018

Posted July 19, 2018

Outlined below are the principal changes to the DME MAC Policy Article (PA) that has been revised and posted. The policy included is Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea. Please review the entire LCD and related PA for complete information.

Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
Policy Article
Revision Effective Date: 08/01/2018

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: Claims for A9279 are denied as statutorily non-covered.
CODING GUIDELINES:
Revised: Coding guidance for A9279 and other NOC codes 

07/19/2018: At this time 21st Century Cures Act applies to new and revised LCDs that restrict coverage, which require comment and notice. This revision is to an article that is not a local coverage determination.

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

Last Updated Thu, 19 Jul 2018 08:12:12 +0000