Infrared Heating Pad Systems - Policy Article

Infrared heating pad systems (HCPCS E0221; replacement pads A4639) are considered DME but CMS NCD 270.6 precludes payment for these items. Coverage is only possible if the related Local Coverage Determination's reasonable-and-necessary criteria are met and the Final Rule 1713 requirements (face-to-face encounter and Written Order Prior to Delivery obtained prior to delivery) are satisfied; failure to obtain required documentation before delivery results in denial and no retroactive payment.

"CMS National Coverage Determination (NCD) 270."

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