Notification of Medical Policy Reviews March 2022

Medical Policy	Revision
Electrical Stimulator-TENS (PDF)	Annual Review; LCD L33802; NCD 160.27 Removed Indications for Coverage I.3 as this information was removed from the LCD due to expiration of Coverage.
Oxygen and Oxygen Supplements (PDF)	CMS Update: NCD 240.2.2 Removed and combined with NCD 240.2. MAC LCD L33797 Continues coverage of Home Oxygen for Cluster Headaches when in an Approved Clinical Trial. No Revisions to Policy currently.
Percutaneous Left Atrial Appendage Closure (PDF)	Staff Clarification Updated Special Notes to read “complete an appropriate level of care authorization” Upon research of these procedures, they are being completed 85% of the time in Observation status and therefore per recommendation from leadership, we will be accommodating each review at an “appropriate level of care” rather than the previous blanket inpatient status.

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