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Notification of Medical Policy Reviews April 2023

Medical PolicyRevision
Electrical Stimulators-Neuromuscular (PDF)

CMS Update

NCD 160.12 DME MAC Jurisdiction C; CGS: Functional Electrical Stimulation (FES)-Coverage and HCPCS Coding Revised

CMS Update. As of 4/1/2023 code A4560 is not a Medicare covered code.

Code A4560 removed from policy

Breast Reduction (PDF)

Annual Review LCD: L33428 LCD: L39051

No CMS Updates; Minor Revisions only

Pneumatic Compression Device (PDF)

Annual Review

NCD 280.6

LCD L33829

No CMS Updates; Minor Revisions only