National Coverage Determination (NCD 30.3.3): Acupuncture for cLBP - Revised

MLN Matters Number: MM11755 Revised
Related CR Release Date: August 27, 2020
Related CR Transmittal Numbers: R10337NCD and R10337CP
Related Change Request (CR) Number: 11755
Effective Date: January 21, 2020
Implementation Date: October 5, 2020 - Medicare Shared Systems & A/B MACs, January 4, 2021

Note: CMS revised this article on August 28, 2020, to reflect an updated Change Request (CR) 11755 that provides revised messaging (page 3 in this article). It also revised the Claims Processing Manual at Section 410.4. All other information remains the same.

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 noncovered 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 Wed, 02 Sep 2020 15:37:08 +0000