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- Pressure Reducing Support Surfaces - Group 2 - Policy Article
Products which do not meet the characteristics specified in either the Group 1 or Group 2 Support Surfaces related Policy Article must be coded using code E1399 Either alternating pressure mattresses or low air loss mattresses are coded using code E0277
- Hospital Beds and Pressure Reducing Support Surfaces - Cigna
A Group 2 pressure reducing support surface (HCPCS codes E0193, E0277, E0371, E0372, and E0373) is considered medically necessary when ANY of the following criteria is met:
- Mattress--HCPC-Coded-Pressure-Reducing-Support-Surfaces-MNG-093
DECISION GUIDELINES: CCA follows applicable Medicare Pressure Reducing Surfaces Local Coverage Determinations (LCDs) L33642 and L33692, Local Coverage Articles (LCAs) A52490 and 52468 to review prior authorization requests for medical necessity
- Pressure Reducing Support Surfaces - CGS Medicare
CMS requires prior authorization of these Group 2 Pressure Reducing Support Surfaces (PRSS) HCPCS codes for all states and territories: E0193, E0277, E0371, E0372, and E0373
- Medical Policy - northwoodinc. com
Refer to Medicare policy (L33642) and article (A52490) for coverage criteria If the member is on a group 2 surface, there should be a care plan established by the treating practitioner or home care nurse which includes the above elements
- Pressure Reducing Support Surfaces - JD DME - Noridian
A group 2 support surface is covered if the beneficiary meets at least one of the three criteria in the LCD with applicable ICD-10 diagnoses listed in the LCD-related Policy Article
- CPT Code for Oversized Low Air Loss Mattresses: Coverage, Benefits, and . . .
CPT code for oversized low air loss mattresses is E0196 The Centers for Medicare Medicaid Services (CMS) designates this code for specialized therapeutic mattresses that provide pressure relief through regulated air flow These mattresses are designed to prevent pressure ulcers, especially in patients with limited mobility
- Durable Medical Equipment (DME), Prosthetics, Orthotics (Non-Foot . . .
For the most current Medicare face-to-face encounter requirement guidance and DMEPOS List, refer to CMS Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Order Requirements
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