LCD and Policy Article Summary for June 8, 2017 - Drafts Released to Final

Posted June 8, 2017

Draft Surgical Dressings Local Coverage Determination and Policy Article have been finalized.

The medical policy will be effective for claims with dates of service on or after July 24, 2017. The notice period start date is June 8, 2017 and the notice period end date is July 23, 2017.

Surgical Dressings
LCD
Revision Effective Date: 07/24/2017

COVERAGE INDICATIONS, INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:

Removed: Standard Documentation Language

Added: New reference language and directions to Standard Documentation Requirements

Added: General Requirements

Revised: Refill Requirements

DOCUMENTATION REQUIREMENTS:

Removed: Standard Documentation Language

Added: General Documentation Requirements

Added: New reference language and directions to Standard Documentation Requirements

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Removed: Standard Documentation Language

Added: Direction to Standard Documentation Requirements

Removed: Supplier Manual reference from Miscellaneous section

Removed: PIM reference under Appendices

Revised: Pressure ulcer staging criteria per NPUAP 2016 Staging Consensus Conference

SOURCES OF INFORMATION AND BASIS FOR DECISION:

Revised: Updated bibliography

RELATED LOCAL COVERAGE DOCUMENTS:

Added: LCD-related Standard Documentation Requirements article

Policy Article
Revision Effective Date: 07/24/2017

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

Added: Order and Modifier requirements

RELATED LOCAL COVERAGE DOCUMENTS:

Added: LCD-related Standard Documentation Requirements Language Article

Review the entire LCD, the related Policy Article, and the Standard Documentation Requirements Article for coverage, coding and documentation requirements. The Response to Comments Summary is attached to the LCD.

Last Updated Wed, 07 Jun 2017 11:19:45 +0000