About this policy
During the 45-day comment period, which was open from February 25, 2021 through April 10, 2021, the DME MACs received a total of 17 comments from 83 commenters. NOTE : DME MACs review all submitted comments and may choose to consolidate similar thematic comments or redact or withhold certain submissions (or portions thereof such as those containing private or proprietary information, inappropriate language or duplicate/near duplicate submissions). As a result, there may be a discrepancy between the number of comments in the article and the actual number of comments received. Introduction to Responses The DME MACs appreciate the comments received from stakeholders during the open comment period on the proposed Enteral Nutrition Local Coverage Determination (LCD) (DL38955). Pursuant to the CMS Program Integrity Manual (CMS Pub. 100-08) Chapter 13: In conducting a review, MACs shall use the available evidence of general acceptance by the medical community, such as published original research in peer-reviewed medical journals, systematic reviews and meta-analyses, evidence-based consensus statements and clinical guidelines. Accordingly, the final policy and our response to comments are based on the best currently available published clinical evidence, to support optimal health outcomes in Medicare beneficiaries requiring enteral nutrition therapy due to a full or partial non-function or disease of the structures that normally permit food to reach the small bowel or a disease that impairs digestion and/or absorption.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.