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Notification of Medical Policy Reviews June 2023

Medical PolicyRevision
Durable Medical Equipment

Annual Review:

Medicare National Coverage Determinations Manual Chp 1 Part 4 Section 280.1

Medicare Benefit Policy Manual Chp 15 Section 110

Medicare Claims Processing Manual Chp 20

MLN SE1103

BCBSNC EOC Chp 4

No CMS Updates; Minor Revisions only

Reconstructive Eyelid Surgery (PDF)

Annual Review:

LCD L34411

No CMS Updates; Minor Revisions only

Dental Services and Procedures in a Hospital, Outpatient Facility, or Ambulatory Surgery Center (PDF)

Annual Review:

LCD L34574 was retired and LCA A59449 was created

NCD 260.6

Medicare Benefit Policy Manual; Chapter 1, Section 70; Chapter 15, Section 150; and Chapter 16, Section140

Verbiage under Indications for Coverage corrected to reflect current NCD, LCA and the Medicare Benefit Policy Manual