LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone: 305.436.5030
Fax: 305.436.0086
E-mail Address: info {at] LEEDerGroup [dot] com

2010-02 CrossWalk Spinal Orthoses with elastic to A4466 and Coding Verification Review

KYDEX-PRO

STRONGER SAFER

LEEDerGROUP.com

February 4, 2010
LCD and Policy Article Revisions Summary for February 4, 2010

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

Spinal Orthosis LCD

Revision Effective Date: 01/01/2010
HCPCS CODES AND MODIFIERS:

Added: A4466
Deleted: GY

DOCUMENTATION REQUIREMENTS:

Deleted: Use of GY modifier with elastic spinal orthoses (Refer to Policy Article for coding guidelines for elastic and nonelastic spinal orthoses.)

Policy Article

Revision Effective Date: 01/01/2010
NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:

Added: Revised code reference (A4466) for elastic spinal orthoses

CODING GUIDELINES:

Added: Instructions for coding elastic and nonelastic flexible spinal orthoses

Added: Requirement for Coding Verification Review effective 7/1/2010.

Note: The information contained in this article is only a summary of revisions to LCDs and Policy Articles. For complete information on any topic, you must review the LCD and/or Policy Article.