VACUUM ERECTION DEVICE – CODING VERIFICATION REVIEW REQUIREMENT


Recently the Durable Medical Equipment Medicare Administrative Contractors (DME MAC) published a new Local Coverage Determination (LCD) for Vacuum Erection Devices effective for dates of service on or after August 1, 2014. The Vacuum Erection Devices LCD related Policy Article Coding Guidelines section contains additional guidance on the proper coding of products coded L7900 and L7902.

All products currently listed on the Pricing, Data Analysis, and Coding (PDAC) contractor website with HCPCS codes L7900 or L7902 will be end dated effective October 31, 2014. Manufacturers will be required to submit a new coding verification application to the PDAC for review and assignment of the correct code for products currently coded as L7900 or L7902.

Effective for claims with dates of service on or after November 1, 2014, the only products which may be billed to Medicare using code L7900 or L7902 are those for which a written coding verification has been made by the PDAC contractor and are listed on the Product Classification List in the Durable Medical Equipment Coding System (DMECS) maintained on the PDAC website, www.dmepdac.com. Products which have not received coding verification review from the PDAC must be billed with code A9270. The PDAC coding verification application required for these products is the DME and Supplies application. This application is located on the PDAC website, www.dmepdac.com

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or email the PDAC by completing the DME PDAC Contact Form located on the PDAC website:www.dmepdac.com

Published by Noridian as the PDAC, July 2014. Republished by Palmetto GBA as the PDAC, February 2019. Please note that links in this document were accurate at the time of original publication and may change over time and are no longer active.



Last Updated: 07/07/2014