Page 172 - Medicare Benefit Policy Manual
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160.7 - Electrical Nerve Stimulators
160.12 - Neuromuscular Electrical Stimulation (NMES)
160.13 - Supplies Used in the Delivery of Transcutaneous Electrical Nerve
Stimulation (TENS) and Neuromuscular Electrical Stimulation (NMES)
160.17 - L-Dopa
o Part 3
170.1 - Institutional and Home Care Patient Education Programs
170.2 - Melodic Intonation Therapy
170.3 - Speech Pathology Services for the Treatment of Dysphagia
180 – Nutrition
o Part 4
230.8 - Non-implantable Pelvic Flood Electrical Stimulator
240.7 - Postural Drainage Procedures and Pulmonary Exercises
270.1 -Electrical Stimulation (ES) and Electromagnetic Therapy for the
Treatment of Wounds
270.4 - Treatment of Decubitus Ulcers
280.3 - Mobility Assisted Equipment (MAE)
280.4 - Seat Lift
280.13 - Transcutaneous Electrical Nerve Stimulators (TENS)
290.1 - Home Health Visits to A Blind Diabetic
• Pub. 100-08 PROGRAM INTEGRITY MANUAL
o Chapter 3 - Verifying Potential Errors and Taking Corrective Actions
3.4.1.1 - Linking LCD and NCD ID Numbers to Edits
o Chapter 13 - Local Coverage Determinations
13.5.1 - Reasonable and Necessary Provisions in LCDs
Specific policies may differ by setting. Other policies concerning therapy services are
found in other manuals. When a therapy service policy is specific to a setting, it takes
precedence over these general outpatient policies. For special rules on:
• CORFs - See chapter 12 of this manual and also Pub. 100-04, chapter 5;
• SNF - See chapter 8 of this manual and also Pub. 100-04, chapter 6, for
SNF claims/billing;
• HHA - See chapter 7 of this manual, and Pub. 100-04, chapter 10;
• GROUP THERAPY AND STUDENTS - See Pub. 100-02, chapter 15,
§230;
• ARRANGEMENTS - Pub. 100-01, chapter 5, §10.3;