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.