LCD and Policy Article Revisions Announced

On February 27, the Medicare audit contractors announced recent changes to local coverage determinations (LCDs) and policy articles on external infusion pumps, ostomy supplies, and pressure reducing support surfaces.

External Infusion Pumps – This LCD revised Section V.A to specify vincristine coverage is only for the non-liposomal form of the drug. It also revised specific ICD-9 diagnosis codes contained in the narrative, and replaced them with a reference to the applicable diagnosis code tables. Language on face-to-face requirements was also added.

Ostomy Supplies – This LCD revised the A5081 narrative description to state: stoma plug or seal, any type. This revision was due to CPT/HCPCS code changes.

Pressure Reducing Support Surfaces – This LCD and policy article revised specific ICD-9 diagnosis codes contained in the narrative, and replaced them with a reference to the applicable diagnosis code tables. Language on face-to-face requirements was added to this LCD and policy article.

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