Article Detail - JD DME

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 policies included are Pneumatic Compression Devices and Surgical Dressings. Please review the entire LCDs and related PAs for complete information.

Pneumatic Compression Devices

LCD

Revision Effective Date: 10/22/2023
SUMMARY OF EVIDENCE:
Added: Information related to arterial intermittent pneumatic compression
ANALYSIS OF EVIDENCE:
Added: Information related to arterial intermittent pneumatic compression
BIBLIOGRAPHY:
Added: Information related to arterial intermittent pneumatic compression
RELATED LOCAL COVERAGE DOCUMENTS:
Added: Response to Comments document (A59219)

PA

Revision Effective Date: 10/22/2023
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Removed: Table containing only a description of HCPCS code E0676
Added: Full description of E0676 within last sentence
CODING GUIDELINES:
Removed: "etc"
Added: Incorrect coding denial language for products billed using HCPCS that require written coding verification review

09/07/2023: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Surgical Dressings

PA

Revision Effective Date: 09/07/2023
CODING GUIDELINES:
Removed: "It has a non-adherent property over the wound site" regarding foam dressing HCPCS codes A6209, A6210, A6211, A6212, A6213, A6214, A6215

09/07/2023: At this time the 21st Century Cures Act applies to new and revised LCDs 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/or PAs. For complete information on any topic, you must review the LCDs and/or PAs.
With the update(s) listed above, Noridian would like to remind users how to find the policy that was previously effective. When billing, the supplier should follow guidance that was effective on the date of service. The below steps can be followed to find all previous policies:

1. Open the currently effective policy on the Medical Coverage Database (MCD)
   1. Links to the MCD can be found on the Active LCDs page on the Noridian website
      1. There is a link at the top of the Active LCD page that goes to a full list of the LCDs or PAs, depending on which link is selected OR
      2. There are direct links to all LCDs under the ‘LCD ID number and Effective Date’ column
2. Scroll down to the bottom of the policy
3. Find the section labeled Public Version(s)
4. Look for the link to the policy that was effective on the dates of service in question.
5. Click on hyperlink to go to the policy.