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Notification of Medical Policy Reviews January 2023
| Medical Policy | Revision |
|---|---|
| Respiratory Assist Devices for Obstructive Sleep Apnea and Breathing Related Sleep Disorders (PDF) | Annual Review LCD L3380 NCD 240.4 Corporate Policy: Sleep Apnea Diagnosis and Medical Management No CMS Updates; Minor Revisions only |
Updated to mirror LCD; LCD L33802 NCD 160.27 No CMS Updates; Added statement: ” TENS therapy for Chronic Low Back Pain (CLBP) will be denied as not reasonable and necessary” to the section When Coverage will not be Approved to mirror LCD | |
| Refractive Surgical Services (PDF) | Annual Review NCD 80.7 Refractive Errors Preferred Practice Pattern External Physician Consult No CMS Updates; External Physician Review: did not recommend any changes; Minor Revisions only; Removed 65765 epikeratophakia under applicable codes; Updated reference #2 to reflect updated link |
| External Infusion Pumps (PDF) | CMS Update LCD L33794 NCD 280.14 LCD was revised to replace CGM HCPCs code K0554 with a new CGM HCPCs code E2103; K0554 removed and E2103 added; Reference #4 updated to reflect updated link |
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