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April 14, 2008

Knee Orthoses - New Policy

On March 20, 2008, notice was posted for the new Knee Orthoses LCD & Policy Article. The effective date will be July 1, 2008, for all DME MAC jurisdictions.

The comment period for this policy draft began on September 10, 2004, and ended on October 25, 2004. After a thorough review of the comments presented, this policy was finalized by the contractors.

The policy includes coding, coverage and documentation requirements for submission of claims for knee orthoses. The policy distinguishes between pre-fabricated orthoses and custom fabricated orthoses and outlines separate requirements for each category of orthoses. It is recommended that suppliers become familiar with the new Knee Orthoses Policy prior to its effective date to minimize effects on their billing process. To view the Future Dated LCD, please click on the following link:
http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=22664&lcd_version=2&show=all


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