DME MACs Revise Knee Orthosis Policy


The DME MACs have recently published a revision to the Knee Othosis Local Coverage Determination (LCD) and Policy Article (PA) that will be effective for dates of service on or after June 2, 2016.

The primary revisions to the LCD and Policy article include the addition of ICD-10 diagnosis codes that allow providers to indicate whether the encounter was considered an initial, subsequent, or sequela encounter; and incorporation of language from the DMEPOS quality standards regarding the definition of custom fabricated orthoses. The revision also incorporates standard documentation language found in other O&P policies.

Review the revised knee orthosis LCD and Policy Article.