by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
December 4th, 2014
Vacuum pumps coded L7900 must demonstrate a capability to generate a negative pressure in the range of greater than 3.9 and less than 17 inches of mercury (100 and 432 mmHg, respectively). All devices coded L7900 for reimbursement by Medicare must include a vacuum limiter such that a maximum vacuum of less than 17 inches of mercury (432 mmHg) is obtained. The manufacturer must perform tests to verify the maximum vacuum level.
The DME MACs will be publishing this revised language in an upcoming revision of the policy.
As a reminder, effective for dates of service on or after 11/01/2014, only products that have been reviewed by the Pricing, Data Analysis and Coding (PDAC) contractor and assigned code L7900 and L7902 are reimbursable by Medicare. Products which have not undergone coding verification review by the PDAC must be coded A9270. The revised Coding Guideline product specifications will be applied to products submitted for review.
For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.
Date Posted 12/04/14