Face-to-Face Requirement Language Added to LCDs and Policy Articles

On March 6, the Medicare audit contractors announced the addition of face-to-face language to the following local coverage determinations (LCDs) and policy articles:

• Automatic External Defibrillators
• Hospital Beds and Accessories
• Manual Wheelchair Bases
• Speech Generating Devices
• Glucose Monitors
• Immunosuppressive Drugs
• High Frequency Chest Wall Oscillation Devices
• Nebulizers
• Negative Pressure Wound Therapy Pumps
• Oxygen and Oxygen Equipment
• Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
• Wheelchair Options/Accessories
• Mechanical In-exsufflation Devices
• Osteogenesis Stimulators
• Patient Lifts

The following LCDs and policy articles had additional revisions:

Immunosuppressive Drugs—Revised the J7507 narrative description to state “Tacrolimus Immediate Release, Oral, 1mg.”

High Frequency Chest Wall Oscillation Devices—Revised specific ICD-9 diagnosis codes contained in the narrative with a reference to the applicable diagnosis code tables.

Glucose Monitors—Revised specific ICD-9 diagnosis codes contained in the narrative with a reference to the applicable diagnosis code tables. Gestational diabetes was added.

Nebulizers—Revised specific ICD-9 diagnosis codes contained in the narrative with a reference to the applicable diagnosis code tables.

Orthopedic Footwear—Revised the L3100 narrative description to state “Hallus-Valgus Night Dynamic Splint, Prefabricated, Off-the-shelf” and the L3170 narrative description to state “Foot, plastic, silicone, or equal, heel stabilizer, prefabricated, off-the-shelf, each.”

Oxygen and Oxygen Equipment—Revised to add a statement about a bundled payment category and additional clarification about concurrent use of oxygen in OSA testing. It also added the HCPCS code E1352 (oxygen accessory, flow regulator capable of positive inspiratory pressure). Added clarification about separate billing for stationary and portable contents.

Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea—Revised the narrative of code E0601 to state “Continuous positive airway pressure (CPAP) device.”

Wheelchair Options/Accessories—Revised the HCPCS narrative of E2300 to state “wheelchair accessory, power seat evaluation system, any type” and E2301 to state “wheelchair accessory, power standing system, any type.” Restored K0077 to “Manual Wheelchair Base, Power Wheelchair Base Groups 1 and 2” and “Power Wheelchair Base Groups 3, 4, and 5” to Column II of the bundling table.

Osteogenesis Stimulators—Revised specific ICD-9 diagnosis codes contained in the narrative with a reference to the applicable diagnosis code tables.

Automatic External Defibrillators—Revised specific ICD-9 diagnosis codes contained in the narrative with a reference to the applicable diagnosis code tables.

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