First Coast Services Options, the Medicare Administrative Contractor (MAC) for Florida has updated the rehab local coverage determinations (LCD) for Part A and Part B. According to a FCSO statement regarding the changes:
Indications and Limitations of Coverage and/or Medical Necessity” section of this LCD has been revised under Neuromuscular Reeducation (CPT code 97112) to add language from change request (CR) 6397 regarding the Canalith repositioning procedure(s). In addition, the “coding guidelines” attachment was revised to include the changes from CR 6397, as well as language changes from CR 6321 regarding the Notice of Exclusion from Medicare Benefits (NEMB) form, the Advance Beneficiary Notice (ABN) form, the access to accrued amount information, and the therapy cap dollar amount change for 2009.
I currently serve on the FCSO Provider Outreach and Education Advisory Panel and members have been asked to distribute information of this nature to constituent groups. Please take a moment to visit the FCSO website and enroll to receive updates as well as partake in the many educational offerings. Enjoy.