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Advisory Articles

PDAC Articles 08/16/2008 to Current

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Title Date Posted
Topical Oxygen Therapy Used for Wound Care – an Update 10/18/18
Correct Coding - Porta-Lung Negative Pressure Ventilator - Revised 08/20/18
Correct Coding - A9286 - Hygienic Item or Device, Disposable or Non-disposable, Any Type, Each 08/20/18
Correct Coding - Q9994 (IN-LINE CARTRIDGE CONTAINING DIGESTIVE ENZYME(S) FOR ENTERAL FEEDING, EACH) Coverage Indicator Changed 07/27/18
Continuous Glucose Monitors - Use of Smart Devices 07/18/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Battery Charger 07/18/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Drive Wheel Gear Box 07/18/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Wheelchair Headrest 07/18/18
Correct Coding - Replacement Cecostomy Tube 07/18/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Replacement of Wheelchair Seat and Back Upholstery 07/18/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Battery Replacement 07/18/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Wheelchair Tray 07/18/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Wheelchair Ventilator Tray 07/18/18
Correct Coding - Custom Fabricated Wheelchair Seat and Back Cushions 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Privacy Flap 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for a Wheel Lock Brake Extension for Manual Wheelchairs 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for an Actuator 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Transit System and Associated Bracket 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Anti-Tip Devices for Manual Wheelchairs 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Calf Pad or Calf Support 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Labor Charges 03/27/18
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Shoe Holder or Shoe Holder Replacement Straps 03/27/18
Correct Coding - Warranty, Reasonable Useful Lifetime (RUL), and the Minimum Lifetime Requirement (MLR) for Durable Medical Equipment 02/15/18
Correct Coding - Inserts Used with Therapeutic Shoes for Persons with Diabetes (A5512, A5513, K0903) 02/05/18
Correct Coding of CUVITRU™ Revised 12/12/17
Correct Coding - 2018 HCPCS Code Annual Update 11/29/17
Correct Coding - Full Length Rocker Soles Added to Therapeutic Shoes 11/29/17
Correct Coding - Hygienic Cleansers, Diapers, and Under-pads 11/29/17
Correct Coding - Hygienic Items, Wash Cloths, and Cleansing Wipes 11/29/17
Correct Coding - Urinary Drainage Tube Adapter 11/29/17
Correct Coding - Insulin Used with Continuous External Insulin Infusion Pumps 11/08/17
Correct Coding - Lithium Batteries - Revised 10/09/17
Correct Coding - HCPCS Coding of Surgical Dressings - Components to Report on the PDAC HCPCS Code Verification Application 10/09/17
Retired - Correct Coding - PRO-FLEX® Prosthetic Foot (Össur) 10/09/17
Correct Coding - SpeediCath® Flex Coudé Catheter (Coloplast) 09/12/17
Correct Coding - Center Mount Elevating Leg Rest - Revised 08/24/17
Correct Coding - Submitting Diabetic Shoe Inserts for HCPCS Coding - PDAC Coding Application Instruction 08/11/17
Correct Coding - A5513 Product Coding Redetermination Project 08/11/17
Correct Coding - A5513 Custom Molding Requirements 07/31/17
Correct Coding - Bariatric Pressure Reducing Support Surfaces 07/31/17
Glucose Monitors LCD and Related Policy Article - Revised 07/24/17
Correct Coding - Center Mount Elevating Leg Rest 07/24/17
Two New K Codes for Therapeutic Continuous Glucose Monitors 05/22/17
Continuous Glucose Monitors - Frequently Asked Questions 05/19/17
Coding and Coverage - Therapeutic Continuous Glucose Monitors (CGM) 04/05/17
Correct Coding and Coverage - Braces Constructed Primarily of Elastic or Other Fabric Materials - Revised 04/05/17
Correct Coding - Interferential Current (IFC) Therapy Devices 04/05/17
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