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Knee Orthoses LCD RevisedNHIC Corporation, the Durable Medical Equipment Medicare
Administrative Contractor (DME MAC) for Connecticut, Delaware,
District of Columbia, Maine, Maryland, Massachusetts, New
Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and
Vermont issued an advisory today that the Knee Orthoses Local
Coverage Determination (LCD) has been revised. NHIC said the
changes will be incorporated into a future publication of the
policy.
The following is a summary of the changes, effective for dates
of service on or after July 1, 2008:
Indications and Limitations of Coverage
Added: ICD-9 diagnosis codes 844.0-844.2 and 996.40-996.49 to
range of codes for L-1830, L-1832, L-1834, L-1843, L-1844, L-1845,
and L-1846.
ICD-9 Codes that Support Medical Necessity
Added: ICD-9 diagnosis codes 844.0-844.2 and 996.40-996.49 to
range of codes for L-1830, L-1832, L-1834, L-1843, L-1844, L-1845
and L-1846.
Documentation
Added: Clarified that use of KX modifier is applicable to both
the base and addition codes.
NHIC advised suppliers to review the entire Knee Orthoses policy
for additional information on the coding, coverage, and
documentation requirements for these devices.
The Knee Orthoses Policy can be found at www.medicarenhic.com/dme/medical_review/mr_lcds/mr_lcd_current/Knee_Orthoses_0308.shtml
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