LCD and Policy Article Revisions Summary for July 23 2015 - JD DME

Outlined below are the principal changes to a DME MAC Local Coverage Determination (LCD) and Policy Article (PA) that has been revised and posted for Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics). Please review the entire LCD and related PA for complete information.

Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics)
LCD
Revision Effective Date: 07/01/2015
HCPCS CODES:
Added: HCPCS code Q9978
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Added: Q9978 to modifier billing instructions effective 07/01/2015

Policy Article
Revision Effective Date: 07/01/2015
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Added: Q9978 for billing after 07/01/15
Removed: Drug name Akynzeo®
CODING GUIDELINES:
Added: Q9978 for billing after 07/01/15
Removed: Drug name Akynzeo®

Note: The information contained in this article is only a summary of revisions to the LCD and Policy Article. For complete information on any topic, you must review the LCD and/or Policy Article.