Medicare Part B News-Jurisdiction H for March 28th, 2014

The following announcements are brought to you by Novitas Solutions.

Medical Policy Updates

The following JH MAC Local Coverage Determinations (LCDs) which were posted for notice on February 6, 2014 are now effective:

• Bariatric Surgical Management of Morbid Obesity (L32619)
• Frequency of Dialysis (L32755)
• Glaucoma Treatment with Aqueous Drainage Device (L32733)
• Hemophilia Factor Products (L32735)
• Infrared Photocoagulation (IRC) of Hemorrhoids (L34350)
• Intraoperative Neurophysiological Testing (L32605)
• Lacrimal Punctum Plugs (L32607)
• Outpatient Sleep Studies (L32711)
• Qualitative Drug Testing (L34352)
• Surgery: Blepharoplasty (L32715)
• Vascular Access for Hemodialysis (L32708)
• Wireless Capsule Endoscopy (L32686)

The JH MAC draft LCD L32687 Wound Care and Cellular and/or Tissue-Based Products for Wounds scheduled to become effective on 3/27/2014 has been placed on hold. Therefore, the LCD has been reverted back to the version effective prior to the 3/27/2014 revisions and has been revised for dates of service on and after 01/01/2014 to reflect the annual CPT/HCPCS code updates.

• Wound Care (L32687)

The following JH MAC Local Coverage Determination (LCD) which was posted for notice on February 6, 2014 is now effective. This LCD has also been revised:

• Cataract Extraction (including Complex Cataract Surgery) (L32690)

The following JH MAC LCD has been retired effective March 26, 2014 for dates of service on and after March 27, 2014:

• Qualitative Drug Screening (L32666)

Enhanced Provider Enrollment Status Inquiry Tool

We have updated our online status tool to include the status of Phase 3 revalidation applications (i.e., requests issued after September 20, 2013). We apologize for the inconvenience and appreciate your patience as we worked through this issue. We request that you utilize the online tool as your source of information for application status so our Customer Service Representatives can be utilized for more complex inquiries.