This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chic...
13. Infrared (97026), ultra-sound thermal (97035), phototherapy-ultraviolet (97028) modalities are not payable per the LCD. Coding Guidelines 1. Debridement of a wound, performed before the application of a topical or local anesthesia is billed with CPT codes 11042 - 11047. Wound debridements...
Lower limb amputees across the country have had a unique, dramatic and, for some, traumatic summer. On July 16, 2015, Medicare Audit Contractors released a new proposal to the Medicare Local Coverage Determination (LCD) Proposal: Lower Limb Prostheses (DL33787) that would eliminate and/or stri...
Well, one thing I’d say though is that when you look at when a provider is being challenged on something that’s related to an LCD, it’s often overturned at the administrative law judge level because it doesn’t hold any weight, because the physician’s prerogative is to take care o...
Herein, we evaluate coverage determination policies for stereotactic radiosurgery (SRS) for brain metastases (BM) amongst our institution's local Medicare LCD and MAOs. Materials/Methods We identified and reviewed the CMS LCD and MAO policies specific for SRS coverage for BM for our region/state. ...
By Carrie Carls, BSN, RN, CWOCN, CHRN, and Sherry Clayton, RHIA In an atmosphere of changing reimbursement, it’s important to understand indications and…
This proposed LCD prompted such controversy that the entire matter was referred to study, which has continued for nearly two years without any published conclusions. In the interim, the RAND Corporation has issued a new report underscoring the economic value of advanced technologies for amputees [23...