RETIRED - Vacuum Erection Device - Coding Verification Review Requirement

IMPORTANT: THIS DOCUMENT CONTAINS OUTDATED INFORMATION.

Content Provided on this page contains outdated information and instruction and should not be considered current. Noridian is providing this archived information for research purposes only. This archived article contains previously issued instructions that have since been updated or are no longer applicable for Medicare billing purposes.

Recently the Durable Medical Equipment Medicare Administrative Contractors (DME MAC) published a new Local Coverage Determination (LCD) for Vacuum Erection Devices effective for dates of service on or after August 1, 2014. The Vacuum Erection Devices LCD related Policy Article Coding Guidelines section contains additional guidance on the proper coding of products coded L7900 and L7902.

All products currently listed on the Pricing, Data Analysis, and Coding (PDAC) contractor web site with HCPCS codes L7900 or L7902 will be end dated effective October 31, 2014. Manufacturers will be required to submit a new coding verification application to the PDAC for review and assignment of the correct code for products currently coded as L7900 or L7902.

Effective for claims with dates of service on or after November 1, 2014, the only products which may be billed to Medicare using code L7900 or L7902 are those for which a written coding verification has been made by the PDAC contractor and are listed on the Product Classification List in the Durable Medical Equipment Coding System (DMECS) maintained on the PDAC web site. Products which have not received coding verification review from the PDAC must be billed with code A9270. The PDAC coding verification application required for these products is the DME and Supplies application. This application is located on the PDAC website.

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form located on the PDAC website.

Publication History

Date of Change Description
06/12/14 Originally Published
03/11/21 Article Retired. Refer to the LCD and related Policy Article.

 

Last Updated Dec 10 , 2023