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Advisory Articles

PDAC Articles 08/16/2008 to Current

Title Date Posted
Correct Coding – LIM Innovation Below Knee Socket 12/28/16
Correct Coding – Manual Wheelchairs Constructed of Titanium 12/28/16
Correct Coding – Negative Pressure Wound Therapy (NPWT) 12/28/16
Correct Coding – WHILL Powered Personal Mobility Devices – Revised 12/28/16
Correct Coding – Oral Appliances Not Used For the Treatment of Obstructive Sleep Apnea 12/20/16
Correct Coding - Diapers and Underpads 12/20/16
Correct Coding – 2017 HCPCS Code Annual Update 12/01/16
Correct Coding – Not Otherwise Classified (NOC) HCPCS Codes Used for Drugs 12/01/16
Coverage and Correct Coding of CUVITRU™ 11/15/16
REVISED – Correct Coding – Eclipse™ Vaginal Insert system (Pelvalon, Inc)
Joint DME MAC Article
11/15/16
Correct Coding – Otto Bock C-Leg Coding Revised 10/17/16
Correct Coding – Pneumatic Compression Devices and Related Appliances – Revised 10/05/16
Correct Coding – Argus® II Retinal Prosthesis System 09/27/16
Correct Coding - Eclipse Vaginal Insert system (Pelvalon, Inc.) 08/22/16
Correct Coding – WHILL Powered Personal Mobility Devices 08/05/16
Correct Coding and Coverage – Braces Constructed Primarily of Elastic or Other Fabric Materials 08/05/16
Cantilever Type Armrest – Correct Coding 08/05/16
Correct Coding and Coverage – Oral Suspensions used in the Treatment of Oral Mucosal Injuries 08/03/16
Correct Coding – HCPCS Coding Recommendations from Non-Medicare Sources 08/03/16
Coverage and Coding – New Oral Antiemetic Drug Varubi® – Revised – Effective Date July 1, 2016 06/16/16
Correct Coding – Martin Bionics Socket-less Socket – Revised 06/16/16
Speech Generating Devices – Coding Verification Review Requirement 05/24/16
Correct Coding and Coverage of Ventilators – Revised May 2016 05/24/16
Correct Coding Reminder - Duopa® (AbbVie) 05/24/16
Manual Wheelchair Bases - Correct Coding - Revised 04/27/16
Hand-Finger Orthoses – Use of CG Modifier – Revised 04/19/16
Correct Coding – LIM innovations Infinite Socket™ – Revised
DME MAC Joint Publication
03/16/16
Correct Coding - inFlow™ Intraurethral Valve-Pump (Vesiflo, Inc.) 03/08/16
Correct Coding – IDEO and ExoSym Energy Storing AFO 02/16/16
Correct Coding – NOC Codes for Enteral (B9998) and Parenteral (B9999) Nutrition 02/16/16
Coverage and Correct Coding of YONDELIS® 02/11/16
Coverage and Correct Coding of Blincyto™ Joint DME MAC Publication – Revised 01/12/16
Coverage and Correct Coding of Duopa® (Levodopa-Carbidopa Enteral Suspension) Joint DME MAC Publication – Revised 01/12/16
Coverage and Correct Coding of HYQVIA (Immune Globulin Infusion (Human) 10%, with Recombinant Human Hyaluronidase) – Revised Joint DME MAC Publication – Revised 01/12/16
Correct Coding – Ankle Orthoses, With or Without Joints, Prefabricated or Custom Fabricated Coding Verification Review 12/29/15
Correct Coding – New Oral Antiemetic Drug Akynzeo® – Joint DME MAC Publication Revised 12/29/15
Correct Coding and Coverage of Ventilators – Revised Effective January 1, 2016 12/16/15
Correct Coding – Buzzy® 11/30/15
Correct Coding – Tracheostomy Tubes 11/30/15
Coverage and Coding – New Oral Antiemetic Drug Varubi™ 11/24/15
Correct Coding – 2016 HCPCS Code Annual Update 11/24/15
Correct Coding – P-stim® Device 10/29/15
Correct Coding – Diathermy and Biofeedback Devices 10/29/15
Correct Coding – TOBI® Podhaler™ 10/29/15
PROSE® Device – Correct Coding 10/16/15
Correct Coding - Surgical Dressings Containing Unclassified Materials 08/25/15
Correct Coding and Coverage – E0740 Non-Implantable Pelvic Floor Electrical Stimulator 08/12/15
Coverage and Correct Coding of HYQVIA (Immune Globulin Infusion (Human) 10%, with Recombinant Human Hyaluronidase) – Revised 08/10/15
Coverage and Coding – New Oral Antiemetic Drug Akynzeo – Revised 06/02/15
Correct Coding – “No-Touch” Catheters 05/22/15
Correct Coding – LIM innovations Infinite Socket™ 05/22/15
Correct Coding – BEMER Physical Vascular Therapy Devices 05/19/15
Correct Coding – WHILL Model A Powered Personal Mobility Device 05/19/15
Correct Coding – Weightless Walker 05/19/15
Correct Coding – Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Revised 05/06/15
Revised – Power Mobility Device Independent Testing Requirements Effective October 1, 2015 03/09/15
Coverage and Correct Coding of Blincyto™ 02/25/15
Coverage and Correct Coding of Duopa® (Carbidopa/Levodopa Enteral Suspension) 02/23/15
Respiratory Assist Devices – E0472 02/18/15
Correct Coding and Coverage – Peristeen® Transanal Irrigation (PAI) System 02/18/15
Coverage and Coding – New Oral Antiemetic Drug Akynzeo® 02/09/15
Correct Coding – Surgical Dressings Containing Non-Covered Components 01/27/15
Correct Coding – Cast Covers 01/21/15
Correct Coding – Lithium Batteries – Updated 01/07/15
Coverage and Correct Coding of Continuous Glucose Monitoring (CGM) Devices - Revised December 2014 12/29/14

Correct Coding – Integrated Respiratory Products
12/29/14
Correct Coding – Fitness Monitoring Technologies 12/29/14
Coverage and Correct Coding of HyQvia® 12/29/14
HCPCS Code Update – (2015) 12/22/14
Policy Article Revision – Vacuum Erection Devices (VED) 12/04/14
Correct Coding – MyoPro® (Myomo, Inc.) Assist Device 12/03/14
Correct Coding – Oral Anticancer Drugs and PDAC’s NDC/HCPCS Crosswalk Listings 11/13/14
Correct Coding – Braces (Orthoses) Attached to Wheelchairs 11/06/14
Correct Coding – Cefaly® 10/08/14
Correct Coding – Surgical Dressings Containing Medical Honey 10/01/14
New Off-the-Shelf Orthotic Codes 09/26/14
Correct Coding – Drugs and Fluids 09/18/14
Correct Coding – Vibration Therapy Devices 09/04/14
Speech Generating Devices – Coding Verification Review Requirement – Update 08/22/14
Coverage and Correct Coding of Continuous Glucose Monitoring Devices 08/13/14
Speech Generating Device – Information Required for Coding Verification Review 07/29/14
Vacuum Erection Device – Coding Verification Review Requirement 07/07/14
Correct Coding – Billing of Hcpcs Code E0986 07/07/14
Correct Coding – Lithium Batteries 05/09/14
MyoPro™ – Coding Reminder 05/05/14
Correct Coding and Coverage of Ventilators 04/28/14
Correct Coding – Billing of Powered L-Coded Items 04/07/14
Correct Coding – Definitions Used for Off–the–Shelf versus Custom Fitted Prefabricated Orthotics (Braces) – Revised 03/31/14
Coverage Reminder – Speech Generating Devices 03/31/14
Manual Wheelchair Bases 03/11/14
Correct Coding of Continuous Passive Motion Devices 03/11/14
Correct Coding - ApniCure Winx® Sleep Therapy System 02/25/14
Correct Coding – Liners Used with Positive Airway Pressure (PAP) Mask 01/29/14
Coding Guideline – K0900 (CUSTOM DURABLE MEDICAL EQUIPMENT, OTHER THAN WHEELCHAIRS) 01/27/14
Breathe NIOV™ - Coding Reminder – Revised January 2014 01/17/14
HCPCS Code Update – (2014) 01/03/14
Correct Coding – Supplies used with E0446 – Joint DME MAC Publication 12/16/13
Correct Coding Reminder – Monitoring Technology Used with Positive Airway Pressure Devices (PAP) and Respiratory Assist Devices (RAD) 12/16/13
Walker Unbundling Billing for Brakes 10/22/13
Correct Coding and Billing of Cantilever Type Armrest 10/01/13
Manual Wheelchair Bases 10/01/13
Transcutaneous Electrical Nerve Stimulators (TENS) Sold Over-the-Counter – Coding Guidelines 07/23/13
Appropriate Coding and Billing of Lower Limb Prosthetic Covers and Covering Systems 07/23/13
Oral Anti-Cancer Drugs – Coding and Billing Change 04/10/13
K0009 Manual Wheelchair – Coding Verification Review Requirement – Update 02/28/13
Revised – Collagen Surgical Dressings – Coding Verification Review Requirement 02/25/13
Revised – Power Mobility Device Independent Testing Requirements 02/25/13
Revised - Coding Guidelines For Ankle Foot Orthoses 02/07/13
HCPCS Code L0430 - Invalid 01/11/13
Collagen Surgical Dressings – Coding Verification Review Requirement 12/17/12
HCPCS Code Update – 2013 12/17/12
K0009 Manual Wheelchair – Coding Verification Review Requirement - Deadline Extended 11/19/12
Revised – K0009 Manual Wheelchair – Coding Verification Review Requirement 09/11/12
Correct Coding for Oral Appliances for the Treatment of Obstructive Sleep Apnea (E0486) 07/12/12
Items Requiring Coding Verification Reviews by the PDAC 07/02/12
Concentric Adjustable Torsion Joints – Correct Coding 05/08/12
K0009 Manual Wheelchair – Coding Verification Review Requirement 04/19/12
Correct Coding and Billing for Microprocessor-Controlled Knee Systems 01/03/12
Correct Coding – Articulating Digit(s) and Prosthetic Hands 12/21/11
Coding Guidelines for Ankle Foot Orthoses 12/21/11
Correct Coding – Safety Equipment Packages with Power Operated Vehicles (POVs) 12/07/11
HCPCS Code Update – 2012 12/02/11
Ankle-Foot Orthoses – Arizona-Type – Correct Coding – Revised 11/15/11
Reminder - Ultrasonic/Electronic Aerosol Generator With Small Volume Nebulizer – Coding Verification Review Requirement 10/12/11
Charcot Restraint Orthotic Walker – Crow Boot – Coding Update 08/29/11
Correct Coding Instructions – Porta-Lung® Negative Pressure Ventilator 06/24/11
Correct Coding – L0174 Coding Review 06/06/11
E0486 – Custom Fabricated Oral Appliance for OSA – Coding and Utilization Guidelines 05/23/11
Billing for Capecitabine (Xeloda®) 500 mg Dosage Form – European Formulation Blister Pack 04/28/11
Correct Coding Instructions – A4358 Urinary Collection Bag 04/18/11
Correct Coding Instructions – Endolite Echelon® Prosthetic Foot 03/17/11
Urological Supplies – A4353 Correct Coding Clarification Policy Revision 02/09/11
Correction – New Modifier CS – Effective Date April 20, 2010 01/24/11
HCPCS Code Update – 2011 – Revised 01/11/11
Heating Pads and Heat Lamps – Draft Medical Policy Finalized 01/04/11
HCPCS Code E0571 – Invalid 12/10/10
Ultrasonic/Electronic Aerosol Generator With Small Volume Nebulizer – Coding Verification Review Requirement 11/04/10
Submitting Diabetic Shoe Inserts for Coding 09/16/10
Pneumatic Knee Splint – Coding Verification Review Requirement 08/16/10
Correct Coding for Pneumatic Compression Devices 07/26/10
Requirements for Coding Review of Custom Fabricated Spinal Orthosis 05/25/10
Coding Guidelines for Therapeutic Shoes for Persons with Diabetes 05/18/10
Power Mobility Device Independent Testing Requirements – Revised 05/13/10
Spinal Orthosis – Coding Verification Review Requirement 05/13/10
Hand Finger Orthoses (L3923) – Use of CG Modifier 04/21/10
Height Standards For Coding LSO and TLSO – Revised 04/15/10
HCPCS Code Update – (2010) – Revised 03/03/10
Tracheostomy Care Kit – Coding Guidelines 11/03/09
Surgical Dressing Clarification 10/28/09
Charcot Restraint Orthotic Walker – CROW Boot – Coding 08/19/09
Exercise Equipment – Correct Coding 07/30/09
HCPCS Code A9283 – Devices Used for Edema or Ulcer Healing 07/22/09
Enteral Nutrition Supply Kits – B4034-B4036 07/02/09
Coding Instructions – Microprocessor Controlled Knee Prostheses 05/07/09
Elastic Garments – Noncovered 03/04/09
HCPCS Code Update 2009 12/16/08
Ankle-Foot Orthoses – Arizona-Type – Correct Coding 12/04/08
Functional Electrical Stimulators – New Code 12/04/08
What is the Difference Between the PDAC and the DME MACs? 09/04/08
Multiple Copies of Applications Not Needed 08/07/08
PDAC Contract Effective August 18, 2008 08/07/08