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
paginationType noridian
Articles Source
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
External Breast Prostheses Webinar - 10/20/2012 - Event Question and Answer Summary DMD
FAQ - Refill Requirements for Non-consumable Supplies DMD
Forgotten ZX Modifiers DMD
Frequently Asked Questions: Oxygen Use in Beneficiaries with Obstructive Sleep Apnea DMD
Glucose Monitor Supplies - Use of Upgrade Modifiers - Revised DMD
Glucose Monitor Supplies - Utilization Reminder DMD
Glucose Monitors and Supplies LCD - Clerical Correction DMD
HCPCS Code L0430 - Invalid (PDAC Article) DMD
HCPCS Code Update - 2012 DMD
Home Prothrombin Time (INR) Monitors - Coverage Change DMD
How to Avoid PECOS Ordering Physician Denials DMD
Humidifiers - HCPCS Codes E0550, E0555, E0560, E0561, and E0562 DMD
Incorrectly Coded DMEPOS Items to be Denied DMD
Items Provided on a Recurring Basis and Request for Refill Requirements - Revised - August 2012 DMD
KX Modifier Billing Reminder DMD
LCD and Policy Article Revisions for May 2012 DMD
LCD for Hospital Beds and Equipment - Documentation Reminder DMD
Levalbuterol - Billing Guidelines DMD
Maintenance and Servicing DMD
Maintenance and Servicing Messages DMD
Maintenance and Servicing Update DMD
Manual Wheelchair Local Coverage Determination and Policy Article - Revised DMD
Maternity Support Garments DMD
Medicare Carriers Manual (MCM) Rules For Maintenance And Servicing Claims DMD
Medicare Eligibility and Documentation Requirements for DMEPOS items Obtained Prior to Medicare Eligibility DMD
Medicare HMO Beneficiaries Transferring to Fee-For-Service Medicare DMD
MMA - Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial DMD
Modifiers KB and 99 DMD
Mounting Hardware - E1028 - Billing Reminder DMD
NDC for Capecitabine (Xeloda®) 500 mg. Dosage Form - European Formulation Blister Pack DMD
New HCPCS Code for Augmentative Communication Device DMD
New K-Codes for Wound Suction Pumps and Associated Dressings - Coding Guidelines DMD
New Modifier CS - Effective Date April 10, 2010 DMD
New Modifier for Rental Items DMD
New National Drug Code (NDC) Numbers For Methotrexate DMD
New National Drug Codes (NDCs) for Etoposide DMD
Non-Implantable Pelvic Floor Electrical Stimulation (PFES) - National Coverage Determination DMD
Numerical Rounding Rules for Medicare DMD
Oral Anti-Emetic Drugs - Coverage Reminder DMD
Osteogenic Stimulation CIM Revision DMD