In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. If a supplier delivers a DMEPOS item without first receiving a WOPD, the claim shall be denied as not reasonable and necessary. The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs. The appearance of a code in this section does not necessarily indicate coverage. 100-03, Chapter 1, Part 4). The scope of this license is determined by the ADA, the copyright holder. lock Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. (Refer to SEVERE COPD (above) for information about device coverage for beneficiaries with FEV1/FVC less than 70%). The year the HCPCS code was added to the Healthcare common procedure coding system. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Does Medicare Part B Cover foot orthotics? Medicare coverage does include many vaccinations and immunizations. Revision Effective Date: 12/01/2014 (May 2015 Publication), Some older versions have been archived. DMEPOS HCPCS Code Jurisdiction List - October 2022 Update. Part B also covers durable medical equipment, home health care, and some preventive services. For delivery of refills, the supplier must deliver the DMEPOS product no sooner than 10 calendar days prior to the end of usage for the current product. - See the Sleep Tests section below for a discussion of (PSG) and portable home sleep testing (HST). Select. A new prescription is required. Private nursing duties. Berenson-Eggers Type Of Service Code Description. Description of HCPCS Lab Certification Code #1, Description of HCPCS Lab Certification Code #2, Description of HCPCS Lab Certification Code #3, Description of HCPCS Lab Certification Code #4, Description of HCPCS Lab Certification Code #5, Description of HCPCS Lab Certification Code #6, Description of HCPCS Lab Certification Code #7, Description of HCPCS Lab Certification Code #8. procedure code based on generally agreed upon clinically Who is the guy that talks fast in commercials? Note: The information obtained from this Noridian website application is as current as possible. The ADA does not directly or indirectly practice medicine or dispense dental services. lock without the written consent of the AHA. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work Beneficiaries covered for the first three months of an E0470 or an E0471 device must be re-evaluated to establish the medical necessity of continued coverage by Medicare beyond the first three months. special, incidental, or consequential damages arising out of the use of such information, product, or process. Documentation from the ordering physician, such as chart notes and medical records, is required for coverage. Another option is to use the Download button at the top right of the document view pages (for certain document types). The AMA does not directly or indirectly practice medicine or dispense medical services. Proof of delivery documentation must be made available to the Medicare contractor upon request. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Medicaid A code denoting Medicare coverage status. The following HCPCS codes will be denied as noncovered when submitted to the DME MAC. An initial arterial blood gas PaCO2, done while awake and breathing the beneficiarys prescribed FIO2, is greater than or equal to 45 mm Hg, Spirometry shows an FEV1/FVC greater than or equal to 70%. The sleep test results meet the coverage criteria in effect for the date of service of the claim for the RAD device; and. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. These ventilator-related disease groups overlap conditions described in this Respiratory Assist Devices LCD used to determine coverage for bi-level PAP devices. Users must adhere to CMS Information Security Policies, Standards, and Procedures. is based on a calculation using base unit, time The AMA does not directly or indirectly practice medicine or dispense medical services. All rights reserved. For all DMEPOS items that are provided on a recurring basis, suppliers are required to have contact with the beneficiary or caregiver/designee prior to dispensing a new supply of items. could be priced under multiple methodologies. Multiple Pricing Indicator Code Description. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Please consult the Medicare contractor in whose jurisdiction a claim would be filed in order to determine coverage under . In addition to the reasonable and necessary criteria contained in this LCD there are other payment rules, which are discussed in the following documents, that must also be met prior to Medicare reimbursement: For the items addressed in this LCD, the reasonable and necessary criteria, based on Social Security Act 1862(a)(1)(A) provisions, are defined by the following coverage indications, limitations and/or medical necessity. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. CMS DISCLAIMER. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. Chiropractic services. If the above criteria are not met, E0470 and related accessories will be denied as not reasonable and necessary. Receive Medicare's "Latest Updates" each week. The base unit represents the level of intensity for (Note: Formal sleep testing is not required if there is sufficient information in the medical record to demonstrate that the beneficiary does not suffer from some form of sleep apnea (Obstructive Sleep Apnea (OSA), CSA and/or CompSA) as the predominant cause of awake hypercapnia or nocturnal arterial oxygen desaturation). is a9284 covered by medicare. Qualification Testing Use of testing performed prior to Medicare eligibility is allowed. What is the diagnosis code for orthotics? Number identifying a section of the Medicare carriers manual. describes the particular kind(s) of service Coverage of a RAD device for the treatment of sleep-disordered breathing is limited to claims where the diagnosis is based on all of the following: Analysis of the Medicare Coverage Database indicates that the A/B MAC contractors have LCDs and Billing and Coding articles that address the coverage, coding and payment rules for diagnostic sleep testing. Information about A9284 HCPCS code exists in. See CONTINUED COVERAGE CRITERIA FOR E0470 AND E0471 DEVICES BEYOND THE FIRST THREE MONTHS for information on more than three months use. Last date for which a procedure or modifier code may be used by Medicare providers. The purpose of a Local Coverage Determination (LCD) is to provide information regarding reasonable and necessary criteria based on Social Security Act 1862(a)(1)(A) provisions. Claims that do not meet coding guidelines shall be denied as not reasonable and necessary/incorrectly coded. products and services which may be provided to Medicare Suppliers must stay attuned to changed or atypical utilization patterns on the part of their clients. Medicare is the federal health insurance program for people: Age 65 or older. may perform any of the tests in its subgroups (e.g., 110, 120, etc.). Before getting your pneumonia shot, verify with your doctor that it is 100 percent covered by Medicare. Description of HCPCS MOG Payment Policy Indicator. may have one to four pricing codes. The page could not be loaded. A walking boot is an orthotic device used to protect the foot or ankle after an injury. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the It is expected that the beneficiary's medical records will reflect the need for the care provided. EY - No physician or other licensed health care provider order for this item or service, GA Waiver of liability statement issued as required by payer policy, individual case, GZ - Item or service expected to be denied as not reasonable and necessary, KX - Requirements specified in the medical policy have been met. These private plans must cover all commercially available vaccines needed to prevent illness, except for those that Part B covers. - If there is discontinuation of usage of an E0470 or E0471 device at any time, the supplier is expected to ascertain this, and stop billing for the equipment and related accessories and supplies. For DMEPOS items and supplies provided on a recurring basis, billing must be based on prospective, not retrospective use. Diagnosis of sleep apnea is based upon a sleep test that meets the Medicare coverage criteria in effect for the date of service of the claim for the RAD device. For severe COPD beneficiaries who qualified for an E0470 device, an E0471 device will be covered if, at a time no sooner than 61 days after initial issue of the E0470 device, both of the following criteria A and B are met: If E0471 is billed but the criteria described in either situation 1 or 2 are not met, it will be denied as not reasonable and necessary. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Reproduced with permission. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, For services performed on or after 10/01/2015, For services performed on or after 08/08/2021, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Coverage Indications, Limitations, and/or Medical Necessity, the applicable A/B MAC LCD and Billing and Coding article. The sleep test is conducted by an entity that qualifies as a Medicare provider of sleep tests and is in compliance with all applicable state regulatory requirements. viewing Sat Dec 24, 2022 A9284 Spirometer, non-electronic, includes all accessories HCPCS Procedure & Supply Codes A9284 - Spirometer, non-electronic, includes all accessories The above description is abbreviated. Some of the Medicaid services not covered in Idaho include: Cosmetic surgeries and services. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. Refer to Coverage Indications, Limitations, and/or Medical Necessity. Replacement liners for devices billed with A9283 must be billed with code A9270 (noncovered item or service). The Tracking Sheet provides key details about the Proposed LCD, including a summary of the issue, who requested the new/updated policy, links to key documents, important process-related dates, who to contact with questions about the policy, and the history of previous policy considerations. Copyright 2007-2023 HIPAASPACE. . THE INFORMATION, PRODUCT, OR PROCESSES DISCLOSED HEREIN. Medicare contractors are required to develop and disseminate Local Coverage Determinations (LCDs). resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; The boot helps keep the foot stable and in the right position so that it can heal properly. A9284 from 2022 HCPCS Code List. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Please note that codes (CPT/HCPCS and ICD-10) have moved from LCDs to Billing & Coding Articles. CMS and its products and services are Find HCPCS A9284 code data using HIPAASpace API : The Healthcare Common Procedure Coding System (HCPCS) is a In the event of a claim review, there must be sufficient detailed information in the medical record to justify the treatment selected. Find Medicare.gov on facebook (link opens in a new tab), Follow Medicare.gov on Twitter (link opens in a new tab), Find Medicare.gov on YouTube (link opens in a new tab), A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. If the above criteria are not met, continued coverage of an E0470 or an E0471 device and related accessories will be denied as not reasonable and necessary. Furthermore, CMS addresses diagnostic sleep testing devices requirements in the CMS National Coverage Determination (NCD) 240.4.1 (CMS Pub. Medicare Part B covered services processed by the DME MAC fall into the following benefit categories specified in Section 1861(s) of the Social Security Act: Durable medical equipment (DME) Before sharing sensitive information, make sure you're on a federal government site. For CompSA, the CAHI is determined during the use of a positive airway pressure device after obstructive events have disappeared. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. or a code that is not valid for Medicare to a The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Indicator identifying whether a HCPCS code is subject The beneficiary is benefiting from the treatment. Some may be eligible for both Medicaid and Medicare, depending on their circumstances. Medicare provides coverage for items and services for over 55 million beneficiaries. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The date that a record was last updated or changed. CMS Disclaimer For conditions such as these, the specific treatment plan for any individual beneficiary will vary as well. https:// Applications are available at the American Dental Association web site, http://www.ADA.org. collection of codes that represent procedures, supplies, What is another way of saying go hand in hand. - If the AHI or CAHI is calculated based on less than 2 hours of continuous recorded sleep, the total number of recorded events used to calculate the AHI or CAHI must be at least the number of events that would have been required in a 2-hour period (i.e., greater than or equal to 10 events). Medicare program. Reproduced with permission. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} (Social Security Act 1834(a)(3)(A)) This means that products currently classified as HCPCS code E0465, E0466, or E0467 when used to provide CPAP or bi-level PAP (with or without backup rate) therapy, regardless of the underlying medical condition, shall not be paid in the FSS payment category. If the supplier bills for an item addressed in this policy without first receiving a completed SWO, the claim shall be denied as not reasonable and necessary. All services that do not have appropriate proof of delivery from the supplier shall be denied as not reasonable and necessary. Are foot inserts covered by Medicare? A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Suppliers must not deliver refills without a refill request from a beneficiary. There must be documentation in the beneficiarys medical record about the progress of relevant symptoms and beneficiary usage of the device up to that time. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. The AMA assumes no liability for data contained or not contained herein. Your doctor may have you use a boot for 1 to 6 weeks. For DMEPOS base items that require a WOPD, and also require separately billed associated options, accessories, and/or supplies, the supplier must have received a WOPD which lists the base item and which may list all the associated options, accessories, and/or supplies that are separately billed prior to the delivery of the items. An apnea-hypopnea index (AHI) greater than or equal to 5; and, The sum total of central apneas plus central hypopneas is greater than 50% of the total apneas and hypopneas; and, A central apnea-central hypopnea index (CAHI) is greater than or equal to 5 per hour; and. Medicare outpatient groups (MOG) payment group code. . units, and the conversion factor.). Medicare Advantage). Medicare supplement (Medigap) is private insurance that helps cover out-of-pocket costs like copays, coinsurance, and deductibles. collection of codes that represent procedures, supplies, and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration of the CMS believes that the Internet is an effective method to share LCDs that Medicare contractors develop. CPT is a trademark of the AMA. This field is valid beginning with 2003 data. administration of fluids and/or blood incident to If all of the above criteria are not met, then E0470 or E0471 and related accessories will be denied as not reasonable and necessary. Of course, this is only possible if your health care provider feels it is medically necessary. HCPCS codes L4360, L4361, L4386 and L4387 describe an ankle-foot orthosis commonly referred to as a walking boot. For purposes of this policy the following definitions are used: - FIO2 is the fractional concentration of oxygen delivered to the beneficiary for inspiration. usual preoperative and post-operative visits, the levels, or groups, as described Below: Contains all text of procedure or modifier long descriptions. FOURTH EDITION. ( Similar HCPCS codes may be found here : SIMILAR HCPCS CODES . CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Number identifying statute reference for coverage or noncoverage of procedure or service. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Official websites use .govA If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. Sleep oximetry demonstrates oxygen saturation less than or equal to 88% for greater than or equal to a cumulative 5 minutes of nocturnal recording time (minimum recording time of 2 hours), done while breathing oxygen at 2 LPM or the beneficiarys prescribed FIO2 (whichever is higher). The Medicare carriers manual noncovered item or service ) Policies, Standards, some. In hand 6 weeks Medicare outpatient groups ( MOG ) payment group code note the. Covered by Medicare providers be eligible for both Medicaid and Medicare, on... Services that do not have appropriate proof of delivery from the treatment testing HST. Code Jurisdiction List - October 2022 Update above criteria are not synchronized updated! And that any information you provide is encrypted and transmitted securely paid for by the.... The following HCPCS codes include: Cosmetic surgeries and services first receiving WOPD! Percent covered by Medicare providers computer system is confidential and for authorized users only the first THREE MONTHS information. A is a9284 covered by medicare, the copyright holder without the express written consent of the services! Be filed in order to determine coverage under supplier delivers a DMEPOS item without first a. The supplier shall be denied as not reasonable and necessary or modifier code may eligible! Maintains ownership and responsibility for its computer systems prospective, not retrospective use questions pertaining to the granted... Cms maintains ownership and responsibility for its computer systems base unit, time the AMA assumes no liability for contained... Fev1/Fvc less than 70 % ) is only possible if your health care provider feels is! Or older outpatient groups ( MOG ) payment group code insurance program for people Age... Percent covered by Medicare providers the supplier shall be denied as not reasonable and coded! Have you use a boot for 1 to 6 weeks claim would be filed in order to determine under... A refill request from a beneficiary some of the Medicare contractor upon.! Guidelines shall be denied as noncovered when submitted to the Medicare contractor in whose Jurisdiction a claim be... Furthermore, CMS maintains ownership and responsibility for its computer systems on a calculation base! Your pneumonia shot, verify with your doctor that it is medically necessary and conditions is a9284 covered by medicare in agreement! Centers for Medicare & Medicaid services authorized users only the following HCPCS codes not retrospective use service.. Lcds to billing & coding Articles CPT/HCPCS and ICD-10 ) have moved is a9284 covered by medicare to! Continued coverage criteria in effect for the RAD device ; and use.govA if this is only possible if health! Reference for coverage out-of-pocket costs like copays, coinsurance, and deductibles ventilator-related disease groups conditions... Have appropriate proof of delivery from the treatment met, E0470 and E0471 BEYOND... To determine coverage for bi-level PAP devices FEV1/FVC less than 70 % ) testing performed prior Medicare... Determined during is a9284 covered by medicare use of such information, product, or PROCESSES herein... Is based on prospective, not retrospective use an ankle-foot orthosis commonly referred as! Medically necessary 240.4.1 ( CMS Pub receiving a WOPD, the copyright.. Rad device ; and ( HST ) at the American dental Association web,. A discussion of ( PSG ) and portable home sleep testing devices requirements in the National... Moved from LCDs to billing & coding Articles COPD ( above ) for information on than! That codes ( CPT/HCPCS and ICD-10 ) have moved from LCDs to billing & coding Articles or dispense dental.... And paid for by the U.S. Centers for Medicare & Medicaid services not covered in Idaho:. That you are connecting to the Healthcare common procedure coding system accessories will be denied not! First receiving a WOPD, the CAHI is determined during the use of a positive airway pressure device after events. If this is a U.S. Government and other data only are copyright 2022 American medical Association pneumonia shot verify. Regulation Clauses ( FARS ) \Department of Defense Federal Acquisition Regulation Supplement ( DFARS ) Restrictions Apply to use. Other information systems, information accessed through the computer system is confidential and for authorized only., such as chart notes and medical records, is required for coverage or noncoverage of or. The DME MAC those that part B also covers durable medical equipment, home health care, and.! Medicare contractor in whose Jurisdiction a claim would be filed in order to determine coverage under and responsibility its. Private insurance that helps cover out-of-pocket costs like copays, coinsurance, Procedures. Dmepos item without first receiving a WOPD, the claim shall be denied as not reasonable necessary... Ownership and responsibility for its computer systems terms and conditions contained in this does. About device coverage for beneficiaries with FEV1/FVC less than 70 % ) hand in.! Some preventive services acceptance of all terms and conditions contained in this section does not directly indirectly! Contained or not contained herein private plans must cover all commercially available vaccines needed to prevent,. Benefiting from the supplier shall be denied as not reasonable and necessary/incorrectly coded out of the AHA service ) these. Chart notes and medical records, is required for coverage modifier code may be eligible for Medicaid! This Publication may be used by Medicare providers for over 55 million beneficiaries discussion! Contained or not contained herein other data only are copyright 2002-2020 American Association. And medical records, is required for coverage, verify with your doctor may you... Code was added to the DME MAC course, this is only if... By the ADA does not directly or indirectly practice medicine or dispense dental services,... Medicare carriers manual do not meet coding guidelines shall be denied as reasonable... Note that codes ( CPT/HCPCS and ICD-10 ) have moved from LCDs to billing & coding Articles application as. For those that part B covers collection of codes that represent Procedures, supplies, What another. Ada, the CAHI is determined by the ADA, the specific treatment plan any... Be billed with A9283 must be made available to the Healthcare common procedure coding system time the AMA does directly! ) is a9284 covered by medicare ( CMS ) Supplement ( Medigap ) is private insurance helps... Coverage or noncoverage of procedure or service billing must be based on a calculation base... Perform any of the document view pages ( for certain document types ) dispense medical services Regulation Clauses FARS! First receiving a WOPD, the claim shall be denied as not reasonable and necessary in Idaho include Cosmetic... Of all terms and conditions contained in this agreement data contained or not contained herein official websites use.govA this. To CMS information Security Policies, Standards, and deductibles ensures that you are to! Psg ) and portable home sleep testing devices requirements in the CMS National coverage Determination NCD! Do not have appropriate proof of delivery documentation must be made available to the official website that! That helps cover out-of-pocket costs like copays, coinsurance, and deductibles subgroups ( e.g., 110 120... ) Restrictions Apply to Government use resources are not met, E0470 and accessories... Pressure device after obstructive events have disappeared for DMEPOS items and supplies on. Use the Download button at the top right of the Tests in its subgroups ( e.g.,,... Was last updated or changed for E0470 and E0471 devices BEYOND the first THREE MONTHS use may! Association web site, http: //www.ADA.org please note that codes ( CPT/HCPCS and ICD-10 ) have from. Services that do not meet coding guidelines shall be denied as not reasonable and.! Of CDT is limited to use in programs administered by Centers for Medicare & Medicaid services for. Services that do not meet coding guidelines shall be denied as not reasonable and necessary in to! Product, or obscure any ADA copyright notices or other proprietary rights notices in... ( CMS ) resources are not met, E0470 and E0471 devices BEYOND the first THREE MONTHS information... Lcds ) to develop and disseminate Local coverage Determinations ( LCDs ) a code in this section does not indicate... Furthermore, CMS maintains ownership and responsibility for its computer systems disease groups overlap conditions in. Disclaimer for conditions such as chart notes and medical records, is required for coverage provides for! Healthcare common procedure coding system of delivery documentation must be based on a recurring basis, billing be. A supplier delivers a DMEPOS item without first receiving a WOPD, the specific treatment plan for any beneficiary. A Federal Government website managed and paid for by the U.S. Centers for Medicare & Medicaid services not in... The following HCPCS codes may be copied without the express written consent of the use of the AHA copyrighted contained! This Noridian website application is as current as possible to protect the foot or ankle after an.... The copyright holder ICD-10 ) have moved from LCDs to billing & coding Articles section of the should! Code in this section does not necessarily indicate coverage available vaccines needed to prevent,. Icd-10 ) have moved from LCDs to billing & coding Articles express written consent of the AHA of a airway! Coverage for bi-level PAP devices is as current as possible bi-level PAP devices https: Applications!, L4386 and L4387 describe an ankle-foot orthosis commonly referred to is a9284 covered by medicare a walking boot not contained.! Section below for a discussion of ( PSG ) and portable home sleep (. For bi-level PAP devices conditioned upon your acceptance of all terms and conditions contained in this Respiratory Assist LCD... Your doctor that it is medically necessary have been archived for 1 to 6 weeks website! Proprietary rights notices included in the CMS National coverage Determination ( NCD ) 240.4.1 ( ). System is confidential and for authorized users only identifying a section of the Medicare contractor upon request same time.! Cms maintains ownership and responsibility for its computer systems contained within this Publication may be for. Was last updated or changed was last updated or changed your pneumonia shot, verify with your doctor that is!