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Issue Number - Name
0021 - Trach Suction Catheters
Review Type
Complex
Claim Type
DME by Supplier, DME by Physician
Region and State
RAC 5
All States
Date Approved
2017-02-01

Description

Overpayments were identified where claims for suction pumps and suction catheters were not in accordance with billing requirements outlined in Local Coverage Determinations.

Affected Codes

  • A4605, A4624, A4628, E0600

Applicable Policy References

  • CGS and Noridian Healthcare Solutions LCD, L33799, Effective date 10/01/2015
  • CGS and Noridian Healthcare Solutions LCD, L33612, Effective date 10/01/2015
  • CGS LCD, L5027, Effective date 10/01/1993, Retired 09/30/2015
  • NHIC LCD, L11505, Effective date 10/01/1993, Retired 09/30/2015
  • NGS LCD, L27030, Effective date 10/01/1993, Retired 09/30/2015
  • Noridian LCD, L11494, Effective date 10/01/1993, Retired 09/30/2015
  • CGS and Noridian Healthcare Solutions Article, A52519, Effective date 10/01/2015
  • CGS Article, A24142, Effective date 04/01/2005, Retired 09/30/2015
  • NHIC Article, A51298, Effective date 04/01/2005, Retired 09/30/2015
  • Noridian Article, A25376, Effective date 04/01/2005, Retired 09/30/2015
  • NGS Article, A47084, Effective date 04/01/2005, Retired 09/30/2015
  • CMS Policy Article, A55426