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Advisory Articles

Advisory Articles Articles

L1005 - Tension Based Scoliosis Orthosis and Accessory Pads, Includes Fitting and Adjustment - Correct Coding L1686 Prefabricated Hip Abduction Orthosis - Correct Coding Scoliosis Brace - Correct Coding Correct Coding - U 500 Insulin for Use in External Insulin Infusion Pumps Correct Coding – 2019 HCPCS Code Annual Update - Corrected Correct Coding for Items Used to Treat Edema - Revised Continuous Glucose Monitor Supplies - Correct Coding and Billing KF Modifier Use - Correct Coding Partial Hand Prostheses - Correct Coding New HCPCS Code - Revefenacin (Yupelri®) - J7677 PDAC Coding Guidelines for Off-the-Shelf Diabetic Shoes (A5500)L3960 - Coding Verification Review Requirement Correct use of Not Otherwise Specified L-codes for Orthoses and Prostheses - Billing Reminder Insulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies – Codes E0787 and A4226 - Correct Coding Custom Fitted Orthotic HCPCS Codes Without a Corresponding Off-the-Shelf Code - Correct Coding 2021 HCPCS Code Update - April Edition - Correct Coding Prosthetic Feet and Additions to Lower Limb Extremity Prostheses - Correct Coding and Coding Verification Review Requirement 2021 HCPCS Code Update - October Edition - Correct Coding Medicare Coverage for Shoes - Correct Coding - Revised Rescinded - Correct Coding – Surgical Dressings Containing Non-Covered Components Partial Foot, Shoe Insert (Toe Fillers), and Shoe Inserts for Diabetics - Coding Based on Benefit Category - Correct Coding 2022 HCPCS Code Update - January Edition - Correct Coding Correct Coding - 2017 HCPCS Code Annual Update Correct Coding – 2016 HCPCS Code Annual Update HCPCS Code Update - 2014 HCPCS Code Update - 2013 HCPCS Code Update – 2012 HCPCS Code Update - 2009 Topical Oxygen Therapy Used For Wound Care - An Update Correct Coding - A9286 - Hygienic Item or Device, Disposable or Non-disposable, Any Type, Each Continuous Glucose Monitors - Use of Smart Devices Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Battery Charger Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Battery Replacement Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Replacement of Wheelchair Seat and Back Upholstery Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Wheelchair Tray Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Wheelchair Ventilator Tray Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Drive Wheel Gear Box Correct Coding – Incorrect Use of HCPCS Code K0108 To Bill for a Wheelchair Headrest Correct Coding – Replacement Cecostomy Tube Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Anti-Tip Devices for Manual Wheelchairs Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Calf Pad or Calf Support Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Shoe Holder or Shoe Holder Replacement Straps Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Labor Charges Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Transit System and Associated Bracket Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Privacy Flap Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Wheel Lock Brake Extension for Manual Wheelchairs Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for an Actuator Correct Coding – 2018 HCPCS Code Annual Update Correct Coding – Full Length Rocker Soles Added to Therapeutic Shoes Correct Coding – Hygienic Cleansers, Diapers, and Under-Pads Correct Coding – Hygienic Items, Wash Cloths, and Cleansing Wipes Correct Coding – Urinary Drainage Tube Adapter Correct Coding – HCPCS Coding of Surgical Dressings – Components to Report on the PDAC HCPCS Code Verification Application Correct Coding – SpeediCath® Flex Coudé Catheter (Coloplast)Correct Coding – Interferential Current (IFC) Therapy Devices Correct Coding – Diapers and Underpads Correct Coding – Oral Appliances Not Used for the Treatment of Obstructive Sleep Apnea Correct Coding – Argus® II Retinal Prosthesis System Cantilever Type Armrest – Correct Coding Correct Coding and Coverage – Oral Suspensions Used in the Treatment of Oral Mucosal Injuries Correct Coding – IDEO and ExoSym Energy Storing AFO Correct Coding – Diathermy and Biofeedback Devices Correct Coding – P-stim® Device Correct Coding – TOBI® Podhaler™Correct Coding – Tracheostomy Tubes Correct Coding and Coverage – E0740 Non-Implantable Pelvic Floor Electrical Stimulator Correct Coding – Weightless Walker Correct Coding - Cast Covers Correct Coding – Fitness Monitoring Technologies Correct Coding – Integrated Respiratory Products HCPCS Code Update - 2015 Policy Article Revision – Vacuum Erection Devices (VED)Correct Coding – Oral Anticancer Drugs and PDAC’S NDC/HCPCS Crosswalk Listings Irrigation Supply Sleeves - Correct Coding Correct Coding – Vibration Therapy Devices Correct Coding - ApniCure Winx® Sleep Therapy System Coding Guideline – K0900 (Custom Durable Medical Equipment, Other Than Wheelchairs)Breathe NIOV™ - Coding Reminder – Revised January 2014 Correct Coding – Supplies Used With E0446 – Joint DME MAC Publication Correct Coding and Billing of Cantilever Type Armrest Transcutaneous Electrical Nerve Stimulators (TENS) Sold Over-the-Counter – Coding Guidelines Oral Anti-Cancer Drugs – Coding and Billing Change HCPCS Code L0430 - Invalid Correct Coding for Oral Appliances for the Treatment of Obstructive Sleep Apnea (E0486)Correct Coding and Billing of Halo Procedure PDAC Code Verification Reviews for CGM Devices - Coding and Billing Concentric Adjustable Torsion Joints – Correct Coding Correct Coding – Safety Equipment Packages with Power Operated Vehicles (POVs)Correct Coding – L0174 Coding Review Billing for Capecitabine (Xeloda®) 500 MG Dosage Form – European Formulation Blister Pack Correction – New Modifier CS – Effective Date April 20, 2010 Requirements for Coding Review of Custom Fabricated Spinal Orthoses Coding Guidelines for Therapeutic Shoes for Persons with Diabetes Exercise Equipment - Correct Coding HCPCS Code A9283 - Devices Used for Edema or Ulcer Healing What is the Difference Between the PDAC and the DME MACS?Multiple Copies of Applications Not Needed E0486 – Custom Fabricated Oral Appliance for OSA – Coding and Utilization Guidelines HCPCS Code Update – 2011 HCPCS Code Update - 2010 - Revised 2022 HCPCS Code Update - April Edition - Correct Coding - Revised Continuous Glucose Monitors - Correct Coding and Billing - Revised Correct Coding of Finger, Hand, Hand-Finger and Wrist-Hand-Finger Braces (Orthoses) - Revised 2021 HCPCS Code Update - July Edition - Correct Coding - Revised 2020 HCPCS Code Update - October Edition - Correct Coding - Revised Code Verification Review Requirement for Articulating Digit(s) and Prosthetic Hands - Revised Incorrect Use of HCPCS Code A9279 - Correct Coding - Revised 2020 HCPCS Code Annual Update - Correct Coding - Revised Custom Fabricated Wheelchair Seat and Back Cushions - Correct Coding - Revised Warranty, Reasonable Useful Lifetime (RUL), and the Minimum Lifetime Requirement (MLR) for Durable Medical Equipment - Correct Coding - Revised Insulin Used with Continuous External Insulin Infusion Pumps - Correct Coding - Revised Correct Coding of CUVITRU™ - Revised Correct Coding and Coverage – Braces Constructed Primarily of Elastic or Other Fabric Materials – Revised Correct Coding – New Oral Antiemetic Drug Akynzeo® - Revised Coverage and Correct Coding of HYQVIA (Immune Globulin Infusion (Human) 10%, with Recombinant Human Hyaluronidase) – Revised Correct Coding - Lithium Batteries - Revised MyoPro® (Myomo, Inc.) Assist Device - Correct Coding - Revised Billing of Powered L-Coded Items - Correct Coding - Revised Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - Revised Manual Wheelchair Bases - Correct Coding - Revised Articulating Digit(s) and Prosthetic Hands - Correct Coding - Revised Correct Coding - Porta-Lung Negative Pressure Ventilator - Revised Power Mobility Device Independent Testing Requirements Effective October 1, 2015 - Revised Ankle-Foot Orthoses - Arizona-Type - Correct Coding - Revised 2022 HCPCS Code Update - July Edition - Correct Coding Correct Coding – Buzzy®Coverage and Correct Coding of YONDELIS®Correct Coding of Continuous Passive Motion Devices L1690 Prefabricated Bilateral Lumbo-sacral Hip Orthosis - Correct Coding - Revised Basics of Choosing the Correct HCPCS Code - Correct Coding 2023 HCPCS Code Update - January Edition - Correct Coding 2023 HCPCS Code Update - April Edition - Correct Coding 2023 HCPCS Code Update - July Edition - Correct Coding 2022 HCPCS Code Update - October Edition - Correct Coding L1681 Prefabricated Bilateral Hip Abduction Orthosis - Correct Coding 2023 HCPCS Code Update - October Edition - Correct Coding Powered Lower Extremity Exoskeleton - Correct Coding Powered Upper Extremity Exoskeleton - Correct Coding HCPCS Codes K1018 and K1019 - Correct Coding - Revised 2024 HCPCS Code Update - January Edition - Correct Coding Lymphedema Compression Treatment Items Requirement for Registration with the Food and Drug Administration 3-D Printed Orthotic Devices – Correct Coding External Infusion Pumps and Related Drugs - Revised Lymphedema Compression Treatment Items - Correct Coding and Billing - Revised PureWick Urine Collection System - Coding and Billing Instructions - Revised 2024 HCPCS Code Update - April Edition - Correct Coding Correct Billing and Coding of Ventilators Code Verification Review Requirement for Multi-Functional Ventilators PDAC Coding Guidelines for Gradient Compression Garments for Lymphedema Treatment Ohtuvayre® (ensifentrine) - Correct Coding and Coverage Correct Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses) – Revised Prior Authorization and Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1845, L1951) and Spinal Orthoses (L0631, L0637, L0639)2024 HCPCS Code Update – October Edition – Correct Coding Pneumatic Compression Devices - Correct Coding and Billing Code Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650) – Revised