Alert: Medicare Policy Changes

Paul Prusakowski

Description

Title:

Alert: Medicare Policy Changes

Creator:

Paul Prusakowski

Date:

9/18/2008

Text:

Thank you to Elizabeth Carlstrom for sharing this information:

 

Hi Paul!

 

Hot off the press...there are LCD (Medical Policy) changes, EFFECTIVE
OCTOBER 1, 2008, and I listed them below. I understand there to be
additional LCD revisions/changes to other medical policies coming soon as
well, and I will keep you updated. I thought this might be beneficial to our
List Serve Members and would appreciate you sending this out to them so we
can all stay on top of these, and forthcoming changes to avoid potential
claim denials, delays, etc. Thanks, Elizabeth Carlstrom

 

September 18, 2008

LCD and Policy Article Revisions - Summary for September 2008

Outlined below is a summary of the principal changes to several DME Local
Coverage Determinations (LCDs) and Policy Articles (PAs) that have been
revised and posted to the web site. Please review the entire LCD and each
related Policy Article for complete information.

High Frequency Chest Wall Oscillation Devices
    LCD
    Revision Effective Date: 10/01/2008
    INDICATIONS AND LIMITATIONS OF COVERAGE:
       Added: Coverage for specified neuromuscular diseases.
       Added: Statement about concurrent use of mechanical in-exsufflation
device.
    ICD-9 CODES THAT SUPPORT MEDICAL NECESSITY:
       Added: ICD-9 codes for neuromuscular diseases.

Lower Limb Prostheses
    LCD
    Revision Effective Date: 10/01/2008
    INDICATIONS AND LIMITATIONS OF COVERAGE:
       Moved: Noncoverage statement for user adjustable heel heights from
Policy Article.

    Policy Article
    Revision Effective Date: 10/01/2008
    NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
       Moved: Noncoverage statement for user adjustable heel heights to LCD.

    CODING GUIDELINES:
       Revised: Coding guidance for microprocessor controlled knees.
       Substituted: PDAC for SADMERC.

Wheelchair Options/Accessories
    LCD
    Revision Effective Date: 04/01/2008
    INDICATIONS AND LIMITATIONS OF COVERAGE:
       Revised: Statements about the requirements for ATS or ATP involvement
in the selection of power tilt and/or recline seating systems.

 

Respectfully,

Elizabeth Carlstrom

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Citation

Paul Prusakowski, “Alert: Medicare Policy Changes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/229464.