| Medical Policy | Revision |
|---|---|
| Investigational-Experimental Services | I. Annual Review: Medicare Claims Processing Manual Chp 32 sections 68 & 69 Blue Medicare EOC Chp 4 section 3.1 BCBSNC Corporate Medical Policy: Investigational (Experimental) Services Medicare Managed Manual Chp 4 section 10.7.2 & 90.5 Social Security Exclusions from Coverage CMS Manual System Pub 100-02 Transmittal 198, change request 8921 MLN Matters MM8921 Medicare Benefit Manual Chp 14 section 20 II. No CMS Updates; Minor Revisions only |
| Orthotics: Ankle.Foot.Knee.Ankle.Foot | I. Annual Review: Medicare National Coverage Determination Manual Chp 1 section 280.1 LCD L33686 CGS DME MAC; Correct Coding- Definitions Used for Off the Shelf versus Custom Fitted Prefabricated; Orthotics (Braces) MLN Matters MM8531; CR 8531 Medicare Benefit Policy Manual Chp 15 section 130 II. No CMS Updates. Verbiage added to reflect LCD. Minor Revisions only |
| Orthotics: Lumbar.Sacral-Thoracic.Lumbar | I. Annual Review Medicare National Coverage Determination Manual Chp 1 Part 4 LCD L33790 CGS DME MAC; Correct Coding- Definitions Used for Off the Shelf versus Custom Fitted Prefabricated; Orthotics (Braces) MLN Matters MM8531; CR 8531 LCA A52500 II. No CMS Updates. Minor Revisions only |
| Oxygen and Oxygen Supplements | I. Annual Review LCD L33797 NCD 240.2 MLN Matters MM6990 Medicare National Coverage Analysis (NCA) Home Use of Oxygen CAG-00296R3 II. CMS Update: Group III, Cluster Headache and OSA/Polysomnography/Home Sleep Tests criteria updated. |
| Vagus Nerve Stimulators | I. Annual Review NCD 160.18 Medicare National Coverage Analysis (NCA) for Vagus Nerve Stimulation for Treatment of Resistant Depression (TRD); (CAG-00313R) Decision Memo Medicare National Coverage Analysis (NCA) for Vagus Nerve Stimulation (VNS) for Treatment Resistant Depression (TRD) (CAG-00313R2) Decision Memo II. Annual Review. No CMS Updates. Minor Revisions only—Verbiage added to reflect NCD |
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