National Coverage Determination (NCD 30.3.3): Acupuncture for Chronic Low Back Pain (cLBP)

MLN Matters Number: MM11755
Related CR Release Date: May 8, 2020
Related CR Transmittal Numbers: R10128NCD and R10128CP
Related Change Request (CR) Number: 11755
Effective Date: January 21, 2020
Implementation Date: June 24, 2020 - A/B MACs, October 5, 2020 - Medicare Shared Systems, January 4, 2021, CWF BR 13 only

CR 11755 informs you that the Centers for Medicare & Medicaid Services (CMS) will cover acupuncture for chronic Low Back Pain (cLBP) effective for claims with dates of service (DOS) on and after January 21, 2020. Note that CMS still determines that acupuncture for treatment of fibromyalgia or osteoarthritis is still not considered reasonable and necessary and remain non-covered by Medicare. Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11755.


            Last Updated Thu, 14 May 2020 17:48:48 +0000