Medical Director Articles - 2013 and Prior

The term "article" is used to describe any bulletin article, web site article, educational handout or any other non-LCD document intended for public release that contains coverage/coding statements or medical review related billing or claims considerations.

Articles address local coverage, coding or medical review related billing and claims considerations, and may include any newly developed educational materials, coding instructions or clarification of existing medical review related billing or claims policy.

These articles are written collaboratively by all DME MAC Medical Directors and posted on all DME MAC websites.

Last Updated Aug 09 , 2018
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Articles Source
RETIRED - Documentation Reminder - Glucose Monitor Logs for High-Utilization Claims DMD
RETIRED - Documentation Reminders: Immunosuppressive Drugs DMD
RETIRED - E2399 - Power Wheelchair - Not Otherwise Classified Interface DMD
RETIRED - Early Delivery of Immunosuppressive Drugs DMD
RETIRED - Elastic Garments - Noncovered DMD
RETIRED - Face-to-Face Examination Date on 7-Element Order for Power Mobility Devices Scenarios DMD
RETIRED - Functional Electrical Stimulation (FES) - New Coverage and Coding DMD
RETIRED - Gammagard Liquid® (J1569) Added as Covered Subcutaneous Immune Globulin DMD
RETIRED - Group 3 Support Surfaces - Coverage Criteria Reminder DMD
RETIRED - Hand-Finger Orthoses (L3923) - Use of CG Modifier DMD
RETIRED - Hand-Finger Orthoses - Use of CG Modifier - Revised DMD
RETIRED - HCPCS Code E0571 Clarification - Invalid DMD
RETIRED - Hospital Beds with Mattresses, Group I and Group II Support Mattresses DMD
RETIRED - Immunosuppressive Drugs - Everolimus (Zortress) DMD
RETIRED - Immunosuppressive Drugs - New Codes DMD
RETIRED - Immunosuppressive Drugs Coverage Requirements DMD
RETIRED - Immunosuppressive Drugs DIF Eliminated DMD
RETIRED - Initial Oxygen Testing Requirement for HMO Beneficiaries Joining Medicare Fee For Service January 2001 DMD
RETIRED - Joint DME MAC Article: Documentation & Billing Reminders for Enteral Nutrition Claims DMD
RETIRED - K0009 Manual Wheelchair - Coding Verification Review Requirement - Update (PDAC Article) DMD
RETIRED - Knee Orthoses - Locking Mechanisms DMD
RETIRED - L0430 Classification List DMD
RETIRED - LCD Revisions Released for Comment - Automatic External Defibrillators, Pneumatic Compression Devices, and Suction Pumps DMD
RETIRED - Nebulizer Drugs Units of Service (UOS) DMD
RETIRED - Negative Pressure Wound Therapy - LCD Documentation DMD
RETIRED - New Procedures to Use the ABN Form for DMEPOS Upgrades DMD
RETIRED - Oral Anti-Cancer Drugs - Coding and Billing Change DMD
RETIRED - Oral Anticancer Drugs - Covered Diagnoses DMD
RETIRED - Oxygen Concentrators - New Code DMD
RETIRED - Oxygen Enriching Systems - Payment Information DMD
RETIRED - Oxygen Policy Revision DMD
RETIRED - Oxygen Testing and Documentation in the Medical Records DMD
RETIRED - Parenteral Nutrition - Least Costly Medically Appropriate Alternative Eliminated DMD
RETIRED - Physician Letter - Automatic External Defibrillators, Pneumatic Compression Devices, and Suction Pumps DMD
RETIRED - Pneumatic Knee Splint - Coding Verification Review Requirement DMD
RETIRED - Policy Update - TENS (E0720, E0730) Additional KX Modifier Requirements and CMN Requirement Reinstated for Chronic Low back Pain Diagnosis DMD
RETIRED - Positive Airway Pressure (PAP) Devices - Interpreting Physician Credentials DMD
RETIRED - Previously Deleted Code Reminder DMD
RETIRED - Prospective Billing for Parenteral and Enteral Nutrition DMD
RETIRED - Reminder - Ultrasonic/Electronic Aerosol Generator With Small Volume Nebulizer - Coding Verification Review Requirement DMD
RETIRED - Replacement of Capped Rental Items DMD
RETIRED - Respiratory Assist Devices - Continued Coverage DMD
RETIRED - Respiratory Assist Devices - Disease Classification DMD
RETIRED - Respiratory Assist Devices - Policy Republication DMD
RETIRED - Respiratory Assist Devices And Payment Of Accessories DMD
RETIRED - Respiratory Assist Devices Policy Revised DMD
RETIRED - Revised - Coding Guidelines For Ankle Foot Orthoses (PDAC Article) DMD
RETIRED - Revised - Collagen Surgical Dressings - Coding Verification Review Requirement (PDAC Article) DMD
RETIRED - Rollabout And Transport Chairs DMD
RETIRED - Surgical Dressings - Benefit Category Reminder DMD
RETIRED - Surgical Dressings, PEN - New Modifiers DMD
RETIRED - Therapeutic Shoes - In-Person Fitting and Delivery DMD
RETIRED - Therapeutic Shoes - Policy Revision/ Documentation Requirements DMD
RETIRED - Therapeutic Shoes Modifiers Billing Reminder DMD
RETIRED - Toe Fillers and Diabetic Shoe Inserts - Coding Clarification DMD
RETIRED - Tracheostomy Care Kit - Coding Guidelines DMD
RETIRED - Treprostinil Inhalation Solution (Tyvaso) - Coding and Coverage DMD
RETIRED - Update on Accessories Used With RAD - Code K0534 DMD
RETIRED - Urological Supplies - A4353 Correct Coding Clarification Policy Revision DMD
RETIRED - Urological Supplies - Extension of A4353 Coding Guideline Effective Date to March 20, 2011 DMD
RETIRED - Vacuum Erection Devices (L7900) - Documentation Requirements DMD
RETIRED - Walker Unbundling Billing for Brakes DMD
Revised - Power Mobility Device Independent Testing Requirements (PDAC Article) DMD
Revised - Use of Upgrade Modifiers DMD
Revised Diagnosis Reporting Requirements for Routine Care Clinical Trial Services DMD
Specialty Nutrients - Documentation DMD
Standard Documentation Language for Local Coverage Determinations DMD
Submission Of Additional Information For Code K0010 DMD
Suction Catheters Oropharyngeal vs Tracheoesophageal DMD
Suction Pumps August 2011 Draft LCD - Summary of Comments With Responses DMD
Suggested Abbreviations When Reporting Additional Documentation Notations in the ANSI and NCPDP Formats DMD
Supplier Replacement of Beneficiary-owned Capped Rental Equipment Based upon Accumulated Repair Costs DMD
Supplies Used With Functional Electrical Stimulators (FES) – E0770 DMD
Surrogate UPINs DMD
Tape Modifiers AU, AV, AW, and AX - Sticky Billing Situations (Billing Clarifications) DMD