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Issue Number - Name
0018 - Spring Powered Devices Billed for More Than 1 Unit in a 6-Month Period- Excessive Units of Spring Powered Devices
Review Type
Automated
Claim Type
DME by Supplier
Region and State
RAC 5
All States
Date Approved
2017-02-01

Description

More than one spring powered device (A4258) per 6 months is not reasonable and necessary

Affected Codes

  • A4258

Applicable Policy References 

  • CMS Pub. 100-3, Medicare National Coverage Determinations Manual, Chapter 1, Section 40.2
  • Local Coverage Determinations, L33822, Current Nationwide LCD, Retired LCDs L196, L11520, L27231, L11530
  • MAC Policy Article, A52464, Current Nationwide Article, Retired Articles A33745, A47238, A33614, A33673