Advisory Articles




Advisory Articles Articles


L1005 - Tension Based Scoliosis Orthosis and Accessory Pads, Includes Fitting and Adjustment - Correct CodingL1686 Prefabricated Hip Abduction Orthosis - Correct CodingScoliosis Brace - Correct CodingCorrect Coding - U 500 Insulin for Use in External Insulin Infusion PumpsCorrect Coding – 2019 HCPCS Code Annual Update - CorrectedCorrect Coding for Items Used to Treat Edema - RevisedContinuous Glucose Monitor Supplies - Correct Coding and BillingKF Modifier Use - Correct CodingPanzyga® (Immunoglobulin Intravenous (Human), 10%) Correct Coding and Coverage - RevisedPartial Hand Prostheses - Correct CodingNew HCPCS Code - Revefenacin (Yupelri®) - J7677PDAC Coding Guidelines for Off-the-Shelf Diabetic Shoes (A5500)L3960 - Coding Verification Review RequirementCorrect use of Not Otherwise Specified L-codes for Orthoses and Prostheses - Billing ReminderInsulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies – Codes E0787 and A4226 - Correct CodingCustom Fitted Orthotic HCPCS Codes Without a Corresponding Off-the-Shelf Code - Correct Coding2021 HCPCS Code Update - April Edition - Correct CodingProsthetic Feet and Additions to Lower Limb Extremity Prostheses - Correct Coding and Coding Verification Review RequirementPureWick Urine Collection System - Coding and Billing Instructions2021 HCPCS Code Update - October Edition - Correct CodingMedicare Coverage for Shoes - Correct Coding - RevisedRescinded - Correct Coding – Surgical Dressings Containing Non-Covered ComponentsBilling and Code Verification of HCPCS Code E0467 (Multi-Functional Ventilator) - Correct CodingCorrect Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses)Partial Foot, Shoe Insert (Toe Fillers), and Shoe Inserts for Diabetics - Coding Based on Benefit Category - Correct Coding2022 HCPCS Code Update - January Edition - Correct CodingCorrect Coding - 2017 HCPCS Code Annual UpdateCorrect Coding – 2016 HCPCS Code Annual UpdateHCPCS Code Update - 2014HCPCS Code Update - 2013HCPCS Code Update – 2012HCPCS Code Update - 2009Topical Oxygen Therapy Used For Wound Care - An UpdateCorrect Coding - A9286 - Hygienic Item or Device, Disposable or Non-disposable, Any Type, EachContinuous Glucose Monitors - Use of Smart DevicesCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Battery ChargerCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Battery ReplacementCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Replacement of Wheelchair Seat and Back UpholsteryCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Wheelchair TrayCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Wheelchair Ventilator TrayCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Drive Wheel Gear BoxCorrect Coding – Incorrect Use of HCPCS Code K0108 To Bill for a Wheelchair HeadrestHCPCS Codes K1018 and K1019 - Correct CodingCorrect Coding – Replacement Cecostomy TubeCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Anti-Tip Devices for Manual WheelchairsCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Calf Pad or Calf SupportCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Shoe Holder or Shoe Holder Replacement StrapsCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Labor ChargesCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for Transit System and Associated BracketCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Privacy FlapCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Wheel Lock Brake Extension for Manual WheelchairsCorrect Coding - Incorrect Use of HCPCS Code K0108 To Bill for an ActuatorCorrect Coding – 2018 HCPCS Code Annual UpdateCorrect Coding – Full Length Rocker Soles Added to Therapeutic ShoesCorrect Coding – Hygienic Cleansers, Diapers, and Under-PadsCorrect Coding – Hygienic Items, Wash Cloths, and Cleansing WipesCorrect Coding – Urinary Drainage Tube AdapterCorrect Coding – HCPCS Coding of Surgical Dressings – Components to Report on the PDAC HCPCS Code Verification ApplicationCorrect Coding – SpeediCath® Flex Coudé Catheter (Coloplast)Correct Coding – Interferential Current (IFC) Therapy DevicesCorrect Coding – Diapers and UnderpadsCorrect Coding – Oral Appliances Not Used for the Treatment of Obstructive Sleep ApneaCorrect Coding – Argus® II Retinal Prosthesis SystemCantilever Type Armrest – Correct CodingCorrect Coding and Coverage – Oral Suspensions Used in the Treatment of Oral Mucosal InjuriesCorrect Coding – IDEO and ExoSym Energy Storing AFOCorrect Coding – Diathermy and Biofeedback DevicesCorrect Coding – P-stim® DeviceCorrect Coding – TOBI® Podhaler™Correct Coding – Tracheostomy TubesCorrect Coding and Coverage – E0740 Non-Implantable Pelvic Floor Electrical StimulatorCorrect Coding – Bemer Physical Vascular Therapy DevicesCorrect Coding – Weightless WalkerCorrect Coding - Cast CoversCorrect Coding – Fitness Monitoring TechnologiesCorrect Coding – Integrated Respiratory ProductsHCPCS Code Update - 2015Policy Article Revision – Vacuum Erection Devices (VED)Correct Coding – Oral Anticancer Drugs and PDAC’S NDC/HCPCS Crosswalk ListingsIrrigation Supply Sleeves - Correct CodingCorrect Coding – Vibration Therapy DevicesCorrect Coding - ApniCure Winx® Sleep Therapy SystemCoding Guideline – K0900 (Custom Durable Medical Equipment, Other Than Wheelchairs)Breathe NIOV™ - Coding Reminder – Revised January 2014Correct Coding – Supplies Used With E0446 – Joint DME MAC PublicationCorrect Coding and Billing of Cantilever Type ArmrestTranscutaneous Electrical Nerve Stimulators (TENS) Sold Over-the-Counter – Coding GuidelinesOral Anti-Cancer Drugs – Coding and Billing ChangeHCPCS Code L0430 - InvalidCorrect Coding for Oral Appliances for the Treatment of Obstructive Sleep Apnea (E0486)Correct Coding and Billing of Halo ProcedurePDAC Code Verification Reviews for CGM Devices - Coding and BillingCode Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650)Upper Limb Prostheses - Correct CodingConcentric Adjustable Torsion Joints – Correct CodingCorrect Coding – Safety Equipment Packages with Power Operated Vehicles (POVs)Correct Coding – L0174 Coding ReviewBilling for Capecitabine (Xeloda®) 500 MG Dosage Form – European Formulation Blister PackCorrection – New Modifier CS – Effective Date April 20, 2010Requirements for Coding Review of Custom Fabricated Spinal OrthosesCoding Guidelines for Therapeutic Shoes for Persons with DiabetesExercise Equipment - Correct CodingHCPCS Code A9283 - Devices Used for Edema or Ulcer HealingWhat is the Difference Between the PDAC and the DME MACS?Multiple Copies of Applications Not NeededE0486 – Custom Fabricated Oral Appliance for OSA – Coding and Utilization GuidelinesHCPCS Code Update – 2011HCPCS Code Update - 2010 - Revised2022 HCPCS Code Update - April Edition - Correct Coding - RevisedContinuous Glucose Monitors - Correct Coding and Billing - RevisedCorrect Coding of Finger, Hand, Hand-Finger and Wrist-Hand-Finger Braces (Orthoses) - Revised2021 HCPCS Code Update - July Edition - Correct Coding - Revised2020 HCPCS Code Update - October Edition - Correct Coding - RevisedCode Verification Review Requirement for Articulating Digit(s) and Prosthetic Hands - RevisedEnteral Nutrition - Correct Coding and Billing - RevisedParenteral Nutrition - Correct Coding and Billing - RevisedIncorrect Use of HCPCS Code A9279 - Correct Coding - Revised2020 HCPCS Code Annual Update - Correct Coding - RevisedCustom Fabricated Wheelchair Seat and Back Cushions - Correct Coding - RevisedWarranty, Reasonable Useful Lifetime (RUL), and the Minimum Lifetime Requirement (MLR) for Durable Medical Equipment - Correct Coding - RevisedInsulin Used with Continuous External Insulin Infusion Pumps - Correct Coding - RevisedCorrect Coding of CUVITRU™ - RevisedCorrect Coding and Coverage – Braces Constructed Primarily of Elastic or Other Fabric Materials – RevisedCorrect Coding – New Oral Antiemetic Drug Akynzeo® - RevisedCoverage and Correct Coding of HYQVIA (Immune Globulin Infusion (Human) 10%, with Recombinant Human Hyaluronidase) – RevisedCorrect Coding - Lithium Batteries - RevisedMyoPro® (Myomo, Inc.) Assist Device - Correct Coding - RevisedCorrect Coding and Coverage of Ventilators - Revised July 2020Billing of Powered L-Coded Items - Correct Coding - RevisedDefinitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - RevisedManual Wheelchair Bases - Correct Coding - RevisedArticulating Digit(s) and Prosthetic Hands - Correct Coding - RevisedCorrect Coding - Porta-Lung Negative Pressure Ventilator - RevisedPower Mobility Device Independent Testing Requirements Effective October 1, 2015 - RevisedAnkle-Foot Orthoses - Arizona-Type - Correct Coding - Revised2022 HCPCS Code Update - July Edition - Correct CodingCorrect Coding – Buzzy®Coverage and Correct Coding of YONDELIS®Correct Coding of Continuous Passive Motion DevicesL1690 Prefabricated Bilateral Lumbo-sacral Hip Orthosis - Correct Coding - RevisedBasics of Choosing the Correct HCPCS Code - Correct Coding