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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.

The official Local Coverage Determination (LCD) is the version on the Medicare Coverage Database at http://www.cms.gov/MCD External Link Graphic

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 Adobe Acrobat Document
Automatic External Defibrillators (L13613) September 01, 2009 September 2009 June 2009 Adobe Acrobat Document
Canes and Crutches (L11496) July 01, 2007 July 2009 June 2009 Adobe Acrobat Document
Cervical Traction Devices (L15844) September 01, 2009 September 2009 June 2009 Adobe Acrobat Document
Cold Therapy (L5038) July 01, 2007 July 2009 June 2009 Adobe Acrobat Document
Commodes (L11497) September 01, 2009 September 2009 June 2009 Adobe Acrobat Document
Enteral Nutrition (L5041) January 01, 2008 July 2009 June 2009 Adobe Acrobat Document
Epoetin (L11463) September 01, 2009 September 2009 June 2009 Adobe Acrobat Document
External Breast Prostheses (L5043) January 01,2010 January 2010 March 2010 Adobe Acrobat Document
External Infusion Pumps (L5044) April 19, 2010 January 2009 April 2010 Adobe Acrobat Document
Eye Prostheses (L11529) July 01, 2007 July 2009 June 2009 Adobe Acrobat Document
Facial Prostheses (L5046) January 01, 2010 January 2010 February 2010 Adobe Acrobat Document
Glucose Monitors (L11530) October 01, 2008 October 2008 December 2008 Adobe Acrobat Document
High Frequency Chest Wall Oscillation Devices (L12870) October 01, 2009 October 2008 July 2009 Adobe Acrobat Document
Home Dialysis Supplies and Equipment (L11498) September 01, 2009 September 2009 June 2009 Adobe Acrobat Document
Hospital Beds and Accessories (L5049) October 01, 2009 October 2009 July 2009 Adobe Acrobat Document
Immunosuppressive Drugs (L11531) April 01, 2010 April 2010 February 2010 Adobe Acrobat Document
Infrared Heating Pad Systems (L12873) July 01, 2007 August 2009 July 2009 Adobe Acrobat Document
Intrapulmonary Percussive Ventilation System (L5051) July 01, 2007 August 2009 July 2009 Adobe Acrobat Document
Intravenous Immune Globulin (L27260) January 01, 2009 January 2009 December 2008 Adobe Acrobat Document
Knee Orthoses (L27263) January 01, 2010 January 2010 January 2010 Adobe Acrobat Document
Lower Limb Prosthesis (L11464) January 01, 2010 April 2010 February 2010 Adobe Acrobat Document
Manual Wheelchair Bases (L11465) October 01, 2009 October 2009 July 2009 Adobe Acrobat Document
Mechanical In-exsufflation Devices (L12872) July 01, 2007 August 2009 July 2009 Adobe Acrobat Document
Nebulizers (L11499) January 01, 2010 January 2010 February 2010 Adobe Acrobat Document
Negative Pressure Wound Therapy Pumps (L11500) October 01, 2009 October 2009 July 2009 Adobe Acrobat Document
Oral Anticancer Drugs (L5057) January 01, 2010 June 2010
(August 2010 Revision)
August 2010 Adobe Acrobat Document
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) (L5058) December 01, 2009 January 2010 February 2010 Adobe Acrobat Document
Orthopedic Footwear (L11467) October 01, 2009 October 2009 July 2009 Adobe Acrobat Document
Osteogenesis Stimulators (L11501) August 01, 2009 August 2009 July 2009 Adobe Acrobat Document
Ostomy Supplies (L11502) January 01, 2010 January 2010 January 2010 Adobe Acrobat Document
Oxygen and Oxygen Equipment (L11468) January 01, 2010 July 2010 August 2010 Adobe Acrobat Document
Parenteral Nutrition (L5063) October 01, 2009 October 2009 July 2009 Adobe Acrobat Document
Patient Lifts (L5064) April 01, 2010 January 2010 February 2010 Adobe Acrobat Document
Pneumatic Compression Devices (L11503) January 01, 2009 January 2009 December 2008 Adobe Acrobat Document
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (L11528) April 01, 2010 April 2010 March 2010 Adobe Acrobat Document
Power Mobility Devices (L21271) October 01, 2009
(January 2010 Revision)
January 2009 January 2010 Adobe Acrobat Document
Pressure Reducing Support Surfaces - Group 1 (L5067) December 01, 2009 December 2009 September 2009 Adobe Acrobat Document
Pressure Reducing Support Surfaces - Group 2 (L5068) April 01, 2010 January 2009 February 2010 Adobe Acrobat Document
Pressure Reducing Support Surfaces - Group 3 (L5069) April 01, 2010 January 2009 February 2010 Adobe Acrobat Document
Refractive Lenses (L11532) October 01, 2009 October 2009 July 2009 Adobe Acrobat Document
Respiratory Assist Devices (L11504) February 01, 2010 September 2009 January 2010 Adobe Acrobat Document
Seat Lift Mechanisms (L11533) June 01, 2007 September 2009 September 2009 Adobe Acrobat Document
Speech Generating Devices (L11534) December 01, 2009 December 2009 September 2009 Adobe Acrobat Document
Spinal Orthosis: TLSO and LSO (L11470) January 01, 2010 July 2010 March 2010 Adobe Acrobat Document
Suction Pumps (L11505) June 01, 2007 September 2009 September 2009 Adobe Acrobat Document
Surgical Dressings (L11471) January 01, 2010 January 2010 January 2010 Adobe Acrobat Document
Therapeutic Shoes for Persons with Diabetes (L11535) August 01, 2009 July 2010 September 2010 Adobe Acrobat Document
Tracheostomy Care Supplies (L11536) July 01, 2007 September 2009 September 2009 Adobe Acrobat Document
Transcutaneous Electrical Nerve Stimulators (TENS) (L11506) December 01, 2009 December 2009 September 2009 Adobe Acrobat Document
Urological Supplies (L5080) January 01, 2010 January 2010 February 2010 Adobe Acrobat Document
Walkers (L11472) December 01, 2009 December 2009 September 2009 Adobe Acrobat Document
Wheelchair Options and Accessories (L11473) April 01, 2010 January 2010 January 2010 Adobe Acrobat Document
Wheelchair Seating (L15845) April 01, 2010 January 2009 January 2010 Adobe Acrobat Document



 

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09/02/2010