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.

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Articles Source
Correct Billing for Upper Limb Prosthesis with L6895 instead of L7499 DMD
Correct Billing Of Vision Codes DMD
Correct Coding - L0174 Coding Review (PDAC Advisory Article) DMD
Correct Coding - Safety Equipment Packages with Power Operated Vehicles (POVs) DMD
Correct Coding - Safety Equipment Packages with Power Operated Vehicles (POVs) DMD
Correct Coding - Supplies used with E0446 - Joint DME MAC Publication DMD
Coverage Reminder - Chiropractor Limitations DMD
Coverage Reminder - Chiropractor Limitations DMD
Coverage Reminder - Safety Lancets Non-covered DMD
Coverage Reminder - Testing for Oxygen and Oxygen Equipment Coverage DMD
CPAP Documentation And KX Modifier Usage DMD
CPAP Policy DMD
Deceased Physicians’ UPINs on DMERC Claims DMD
Delivery of Orthoses or Other DMEPOS Items and Hospitalization DMD
Deported Medicare Beneficiaries DMD
Detailed Written Orders and Face-to-Face Encounters DMD
Devices Used for Edema or Ulcer Healing - HCPCS Code A9283 DMD
Diabetic Supplies and Correct Units of Service DMD
DME Upgrades, ABNs and Claims Modifiers DMD
DMEPOS Billing Procedures DMD
DMERC Coverage Of Treprostinil (Remodulin) DMD
DMERCs - Pre-Discharge Delivery of DMEPOS for Fitting and Training
Drugs Used With External Infusion Pumps - Coverage and Billing Reminders DMD
Durable Medical Equipment Ordered With Surrogate Unique Physician Identification Numbers (UPIN) DMD
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims During an Inpatient Stay DMD
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided During an Inpatient Stay - ANSI Denial Code CO-97 (Change Request 7189) DMD
E0486 - Custom Fabricated Oral Appliance for OSA - Coding and Utilization Guidelines DMD
Electrical Joint Stimulation Devices - E0762 - Coding Guidelines DMD
Exercise Equipment - Correct Coding DMD
Expanded Coverage of Diabetes Outpatient Self-Management Training DMD