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DME Home > Medical Review Home > Current LCDs
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.
The official Local Coverage Determination (LCD) is the version on the Medicare Coverage Database at http://www.cms.gov/medicare-coverage-database/ 
| Policy Title |
Policy Effective Date |
Policy Article Effective Date |
Date Posted |
File Type |
| Ankle-Foot/Knee-Ankle-Foot Orthosis (L11527) |
January 01, 2012 |
January 2012 |
March 2012 |
 |
| FUTURE LCD/PA - Ankle-Foot/Knee-Ankle-Foot Orthosis (L11527) |
July 01, 2012 |
July 2012 |
May 2012 |
|
| Automatic External Defibrillators (L13613) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Canes and Crutches (L11496) |
February 04, 2011 |
July 2009 |
December 2010 |
|
| Cervical Traction Devices (L15844) |
February 04, 2011 |
September 2009 |
December 2010 |
|
| Cold Therapy (L5038) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Commodes (L11497) |
February 04, 2011 |
September 2009 |
December 2010 |
|
| Enteral Nutrition (L5041) |
August 02, 2011 |
August 2011 |
October 2011 |
|
| External Breast Prostheses (L5043) |
February 04,2011 |
February 2011 |
December 2010 |
|
| FUTURE LCD/PA - External Breast Prostheses (L5043) |
June 01,2012 |
June 2012 |
May 2012 |
|
| External Infusion Pumps (L5044) |
February 04, 2011 |
January 2009 |
December 2010 |
|
| Eye Prostheses (L11529) |
July 01, 2007 |
July 2009 |
June 2009 |
|
| Facial Prostheses (L5046) |
January 01, 2010 |
January 2010 |
February 2010 |
|
| Glucose Monitors (L11530) |
August 02, 2011 |
July 2011 |
August 2011 |
|
| FUTURE LCD/PA - Glucose Monitors (L11530) |
July 01, 2012 |
July 2012 |
May 2012 |
|
| Heating Pads and Heat Lamps (L28480) |
April 01, 2011 |
April 2011 |
December 2010 |
|
| High Frequency Chest Wall Oscillation Devices (L12870) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Hospital Beds and Accessories (L5049) |
February 04, 2011 |
October 2009 |
December 2010 |
|
| Immunosuppressive Drugs (L11531) |
January 01, 2012 |
June 2011 |
March 2012 |
|
| 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, 2012 |
January 2011 |
March 2012 |
|
| Knee Orthoses (L27263) |
July 01, 2011 |
February 2011 |
May 2011 |
|
| FUTURE LCD/PA - Knee Orthoses (L27263) |
July 01, 2012 |
July 2012 |
May 2012 |
|
| Lower Limb Prosthesis (L11464) |
January 01, 2012 |
January 2011 |
March 2012 |
|
| Manual Wheelchair Bases (L11465) |
May 01, 2012 |
May 2012 |
May 2012 |
|
| Mechanical In-exsufflation Devices (L12872) |
May 01, 2012 |
January 2011 |
May 2012 |
|
| Nebulizers (L11499) |
August 02, 2011 |
August 2011 |
August 2011 |
|
| Negative Pressure Wound Therapy Pumps (L11500) |
October 01, 2011 |
October 2011 |
August 2011 |
|
| Oral Anticancer Drugs (L5057) |
January 01, 2010 |
June 2011 |
May 2011 |
|
| Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) (L5058) |
January 01, 2012 |
June 2011 |
March 2012 |
|
| Oral Appliances for Obstructive Sleep Apnea (L28603) |
September 01, 2011 |
September 2011 |
May 2011 |
|
| 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, 2012 |
January 2011 |
March 2012 |
|
| Oxygen and Oxygen Equipment (L11468) |
October 01, 2011 |
October 2011 |
August 2011 |
|
| Parenteral Nutrition (L5063) |
February 04, 2011 |
February 2011 |
February 2011 |
|
| Patient Lifts (L5064) |
February 04, 2011 |
January 2010 |
December 2010 |
|
| Pneumatic Compression Devices (L11503) |
February 04, 2011 |
January 2009 |
December 2010 |
|
| Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (L11528) |
October 01, 2011 |
February 2011 |
October 2011 |
|
| Power Mobility Devices (L21271) |
June 01, 2011
|
June 2011 |
May 2011 |
|
| Pressure Reducing Support Surfaces - Group 1 (L5067) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Pressure Reducing Support Surfaces - Group 2 (L5068) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Pressure Reducing Support Surfaces - Group 3 (L5069) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Refractive Lenses (L11532) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Respiratory Assist Devices (L11504) |
February 04, 2011 |
September 2009 |
December 2010 |
|
| Seat Lift Mechanisms (L11533) |
February 04, 2011 |
September 2009 |
December 2010 |
|
| Speech Generating Devices (L11534) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Spinal Orthosis: TLSO and LSO (L11470) |
January 01, 2010 |
July 2010 |
March 2010 |
|
| Suction Pumps (L11505) |
April 15, 2012 |
January 2012 |
March 2012 |
|
| Surgical Dressings (L11471) |
February 04, 2011 |
January 2010 |
December 2010 |
|
| Therapeutic Shoes for Persons with Diabetes (L11535) |
February 04, 2011 |
July 2010 |
December 2010 |
|
| Tracheostomy Care Supplies (L11536) |
February 04, 2011 |
September 2009 |
December 2010 |
|
| Transcutaneous Electrical Nerve Stimulators (TENS) (L11506) |
January 01, 2011 |
January 2011 |
March 2011 |
|
| Urological Supplies (L5080) |
February 04, 2011 |
February 2011 |
December 2010 |
|
| Walkers (L11472) |
February 04, 2011 |
December 2009 |
December 2010 |
|
| Wheelchair Options and Accessories (L11473) |
January 01, 2012 |
January 2012 |
March 2012 |
|
| Wheelchair Seating (L15845) |
June 11, 2011 |
January 2011 |
July 2011 |
|
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05/11/2012 |
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