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Disclaimer: Please read these terms carefully before using the policies below. Listed on this page are the Jurisdiction A DME MAC LCDs and attached Policy Articles regarding durable medical equipment, prosthetics, orthotics and supplies provided to Medicare beneficiaries. You may print and/or download these policies for your review and reference. Modification of these policies is strictly prohibited and all such modifications shall have no effect.
The LCDs and Policy Articles contain numerous links. The documents listed here are copies from the official CMS database where the links are inserted. The links may or may not function when accessed from the NHIC DME MAC copies. We apologize for any inconvenience. If you wish to have full link functionality, please access the documents through the CMS site at http://www.cms.gov
| Policy Title |
Policy Effective Date |
Policy Article Effective Date |
Date Posted |
File Type |
| Ankle-Foot/Knee-Ankle-Foot Orthosis (L11527) |
January 01, 2010 |
January 2010 |
January 2010 |
 |
| Automatic External Defibrillators (L13613) |
September 01, 2009 |
September 2009 |
June 2009 |
 |
| Canes and Crutches (L11496) |
July 01, 2007 |
July 2009 |
June 2009 |
 |
| Cervical Traction Devices (L15844) |
September 01, 2009 |
September 2009 |
June 2009 |
 |
| Cold Therapy (L5038) |
July 01, 2007 |
July 2009 |
June 2009 |
 |
| Commodes (L11497) |
September 01, 2009 |
September 2009 |
June 2009 |
 |
| Enteral Nutrition (L5041) |
January 01, 2008 |
July 2009 |
June 2009 |
 |
| Epoetin (L11463) |
September 01, 2009 |
September 2009 |
June 2009 |
 |
| External Breast Prostheses (L5043) |
July 01, 2007 |
July 2004 |
May 2007 |
 |
| External Infusion Pumps (L5044) |
January 01, 2009 |
January 2009 |
December 2008 |
 |
| Future LCD - External Infusion Pumps (L5044) |
April 01, 2010 |
January 2009 |
February 2010 |
 |
| Eye Prostheses (L11529) |
July 01, 2007 |
July 2009 |
June 2009 |
 |
| Facial Prostheses (L5046) |
January 01, 2010 |
January 2010 |
February 2010 |
 |
| Glucose Monitors (L11530) |
October 01, 2008 |
October 2008 |
December 2008 |
 |
| High Frequency Chest Wall Oscillation Devices (L12870) |
October 01, 2009 |
October 2008 |
July 2009 |
 |
| Home Dialysis Supplies and Equipment (L11498) |
September 01, 2009 |
September 2009 |
June 2009 |
 |
| Hospital Beds and Accessories (L5049) |
October 01, 2009 |
October 2009 |
July 2009 |
 |
| Immunosuppressive Drugs (L11531) |
July 01, 2008 |
July 2008 |
June 2008 |
 |
| Future LCD - Immunosuppressive Drugs (L11531) |
April 01, 2010 |
April 2010 |
February 2010 |
 |
| Infrared Heating Pad Systems (L12873) |
July 01, 2007 |
August 2009 |
July 2009 |
 |
| Intrapulmonary Percussive Ventilation System (L5051) |
July 01, 2007 |
August 2009 |
July 2009 |
 |
| Intravenous Immune Globulin (L27260) |
January 01, 2009 |
January 2009 |
December 2008 |
 |
| Knee Orthoses (L27263) |
January 01, 2010 |
January 2010 |
January 2010 |
 |
| Lower Limb Prosthesis (L11464) |
January 01, 2009 |
October 2008 |
December 2008 |
 |
| Future Policy Article - Lower Limb Prosthesis (L11464) |
January 01, 2010 |
April 2010 |
February 2010 |
 |
| Manual Wheelchair Bases (L11465) |
October 01, 2009 |
October 2009 |
July 2009 |
 |
| Mechanical In-exsufflation Devices (L12872) |
July 01, 2007 |
August 2009 |
July 2009 |
 |
| Nebulizers (L11499) |
January 01, 2010 |
January 2010 |
February 2010 |
 |
| Negative Pressure Wound Therapy Pumps (L11500) |
October 01, 2009 |
October 2009 |
July 2009 |
 |
| Oral Anticancer Drugs (L5057) |
April 01, 2008 |
October 2009 |
October 2009 |
 |
| Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) (L5058) |
December 01, 2009 |
January 2010 |
February 2010 |
 |
| Orthopedic Footwear (L11467) |
October 01, 2009 |
October 2009 |
July 2009 |
 |
| Osteogenesis Stimulators (L11501) |
August 01, 2009 |
August 2009 |
July 2009 |
 |
| Ostomy Supplies (L11502) |
January 01, 2010 |
January 2010 |
January 2010 |
 |
| Oxygen and Oxygen Equipment (L11468) |
January 01, 2010 |
January 2010 |
February 2010 |
 |
| Parenteral Nutrition (L5063) |
October 01, 2009 |
October 2009 |
July 2009 |
 |
| Patient Lifts (L5064) |
January 01, 2009 |
January 2009 |
December 2008 |
 |
| Future LCD -Patient Lifts (L5064) |
April 01, 2010 |
January 2010 |
February 2010 |
 |
| Pneumatic Compression Devices (L11503) |
January 01, 2009 |
January 2009 |
December 2008 |
 |
| Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (L11528) |
January 01, 2010 |
March 2008 (September Publication) |
January 2010 |
 |
| Power Mobility Devices (L21271) |
October 01, 2009 (January 2010 Revision)
|
January 2009 |
January 2010 |
 |
| Pressure Reducing Support Surfaces - Group 1 (L5067) |
December 01, 2009 |
December 2009 |
September 2009 |
 |
| Pressure Reducing Support Surfaces - Group 2 (L5068) |
January 01, 2009 |
January 2009 |
December 2008 |
 |
| Future LCD - Pressure Reducing Support Surfaces - Group 2 (L5068) |
April 01, 2010 |
January 2009 |
February 2010 |
 |
| Pressure Reducing Support Surfaces - Group 3 (L5069) |
January 01, 2009 |
January 2009 |
December 2008 |
 |
| Future LCD - Pressure Reducing Support Surfaces - Group 3 (L5069) |
April 01, 2010 |
January 2009 |
February 2010 |
 |
| Refractive Lenses (L11532) |
October 01, 2009 |
October 2009 |
July 2009 |
 |
| Respiratory Assist Devices (L11504) |
February 01, 2010 |
September 2009 |
January 2010 |
 |
| Seat Lift Mechanisms (L11533) |
June 01, 2007 |
September 2009 |
September 2009 |
 |
| Speech Generating Devices (L11534) |
December 01, 2009 |
December 2009 |
September 2009 |
 |
| Spinal Orthosis: TLSO and LSO (L11470) |
January 01, 2010 |
January 2010 |
February 2010 |
 |
| Suction Pumps (L11505) |
June 01, 2007 |
September 2009 |
September 2009 |
 |
| Surgical Dressings (L11471) |
January 01, 2010 |
January 2010 |
January 2010 |
 |
| Therapeutic Shoes for Persons with Diabetes (L11535) |
August 01, 2009 |
September 2009 |
September 2009 |
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| Tracheostomy Care Supplies (L11536) |
July 01, 2007 |
September 2009 |
September 2009 |
 |
| Transcutaneous Electrical Nerve Stimulators (TENS) (L11506) |
December 01, 2009 |
December 2009 |
September 2009 |
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| Urological Supplies (L5080) |
January 01, 2010 |
January 2010 |
February 2010 |
 |
| Walkers (L11472) |
December 01, 2009 |
December 2009 |
September 2009 |
 |
| Wheelchair Options and Accessories (L11473) |
January 01, 2009 |
January 2009 (March Publication) |
March 2009 |
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| Future LCD - Wheelchair Options and Accessories (L11473) |
April 01, 2010 |
January 2010 |
January 2010 |
 |
| Wheelchair Seating (L15845) |
December 01, 2009 |
January 2009 |
September 2009 |
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| Future LCD - Wheelchair Seating (L15845) |
April 01, 2010 |
January 2009 |
January 2010 |
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02/25/2010 |
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