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Notification of Medical Policy Reviews March 2022
Medical Policy Revision
Electrical Stimulator-TENS
  • Annual Review; LCD L33802; NCD 160.27
  • Removed Indications for Coverage I.3 as this information was removed from the LCD due to expiration of Coverage. 

Oxygen and Oxygen Supplements

  • CMS Update: NCD 240.2.2 Removed and combined with NCD 240.2. MAC LCD L33797 Continues coverage of Home Oxygen for Cluster Headaches when in an Approved Clinical Trial.
  • No Revisions to Policy currently. 
Percutaneous Left Atrial Appendage Closure
  • Staff Clarification
  • Updated Special Notes to read “complete an appropriate level of care authorization”
  • Upon research of these procedures, they are being completed 85% of the time in Observation status and therefore per recommendation from leadership, we will be accommodating each review at an “appropriate level of care” rather than the previous blanket inpatient status.