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Medical Policy Center

Search for Local Medical Policy Information
Search for local coverage determinations and related articles by CMS Identifier (L number or A number), title, keyword, as well as HCPCS, CPT, or ICD-9 codes.

Looking for LCDs Converted to ICD-10?

A list of local coverage determinations (LCDs) converted to International Classification of Diseases, Clinical Modification, 10th Revision (ICD-10) is available on the LCDs by Contractor Index. Use the scroll box on the index to select your Medicare Administrative Contractor (MAC) and select the “Submit” button to view a list of states that the specified MAC services. You can then select your MAC name from the table to view the future translated LCDs.

Related Content

A listing of the Jurisdiction B future effective ICD-10 policies may be viewed on the CMS Medicare Coverage Database. External

[View DME Draft Policies | Access List of Retired/Archived Policies External]

Local Coverage Determination Effective Date View Policy Article Effective Date
Ankle-Foot/Knee-Ankle-Foot Orthoses (L27229) 01/01/2014 A47227 01/01/2014
Automatic External Defibrillators (L27232) 07/01/2013 A47061 07/01/2013
Canes and Crutches (L27224) 02/04/2011 A47056 04/01/2013
Cervical Traction Devices (L27233) 07/04/2013 A47014 07/01/2013
Cold Therapy (L27213) 01/01/2011 A47024 05/01/2013
Commodes (L27225) 02/04/2011 A47057 04/01/2013
Enteral Nutrition (L27214) 05/01/2013 A47078 05/01/2013
External Breast Prostheses (L26999) 06/01/2012 A47025 06/01/2012
External Infusion Pumps (L27215) 01/01/2014 A47226 07/01/2013
Eye Prostheses (L27034) 07/01/2007 A47092 04/01/2013
Facial Prostheses (L27001) 01/01/2010 A47075 04/01/2013
Glucose Monitors (L27231) 01/01/2014 A47238 01/01/2014
Heating Pads and Heat Lamps (L28399) 04/01/2011 A47980 05/01/2013
High Frequency Chest Wall Oscillation Devices (L27042) 07/01/2013 A47080 07/01/2013
Hospital Beds And Accessories (L27216) 08/01/2013 A47240 07/01/2013
Immunosuppressive Drugs (L27036) 01/01/2014 A47058 01/01/2013
Infrared Heating Pad Systems (L27044) 07/01/2007 A47027 04/01/2013
Intrapulmonary Percussive Ventilation System (L27003) 07/01/2007 A47095 05/01/2013
Intravenous Immune Globulin (L27258) 01/01/2014 A47173 01/01/2011
Knee Orthoses (L27262) 01/01/2014 A47174 01/01/2014
Lower Limb Prostheses (L27013) 01/01/2014 A47081 01/01/2014
Manual Wheelchair Bases 10/01/2013 A47082 10/01/2013
Mechanical In-exsufflation Devices (L27043) 07/01/2013 A47096 07/01/2013
Nebulizers (L27226) 07/01/2013 A47233 07/01/2013
Negative Pressure Wound Therapy Pumps (L27025) 07/01/2013 A47111 07/01/2013
Oral Anticancer Drugs (L27217) 05/01/2013 A47234 03/01/2014
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) (L27005) 05/29/2013 A47235 01/01/2012
Oral Appliances for Obstructive Sleep Apnea (L28601) 07/01/2012 A50449 07/01/2012
Orthopedic Footwear (L27220) 01/01/2014 A47239 04/01/2013
Osteogenesis Stimulators (L27026) 07/01/2013 A47113 07/01/2013
Ostomy Supplies (L27227) 01/01/2014 A47237 01/01/2013
Oxygen and Oxygen Equipment (L27221) 01/01/2014 A47097 01/01/2014
Parenteral Nutrition (L27006) 02/04/2011 A47126 05/01/2013
Patient Lifts (L27218) 07/01/2013 A47230 07/01/2013
Pneumatic Compression Devices (L27028) 07/01/2013 A47127 07/01/2013
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea 01/01/2014 A47228 07/01/2013
Power Mobility Devices (L27239) 10/01/2013 A47122 10/01/2013
Pressure Reducing Support Surfaces - Group 1 (L27008) 07/01/2013 A47098 07/01/2013
Pressure Reducing Support Surfaces - Group 2 (L27009) 01/01/2011 A47114 04/01/2013
Pressure Reducing Support Surfaces - Group 3 (L27010) 07/01/2013 A47128 07/01/2013
Refractive Lenses (L27037) 05/01/2013 A47054 05/01/2013
Respiratory Assist Devices (L27228) 07/01/2013 A47231 07/01/2013
Seat Lift Mechanisms (L27038) 07/01/2013 A47029 07/01/2013
Speech Generating Devices (L27039) 07/01/2013 A47099 07/01/2013
Spinal Orthoses: TLSO and LSO (L27017) 01/01/2014 A47059 01/01/2014
Suction Pumps (L27030) 01/01/2014 A47084 01/01/2014
Surgical Dressings (L27222) 02/04/2011 A47232 06/01/2013
Therapeutic Shoes for Persons with Diabetes (L27040) 02/04/2011 A47129 05/01/2013
Tracheostomy Care Supplies (L27041) 08/01/2012 A47100 03/01/2014
Future: Transcutaneous Electrical Joint Stimulation Devices (L28524) 08/01/2014 A48018 08/01/2014
Transcutaneous Electrical Nerve Stimulators (TENS) (L27031) 10/01/2013 A47130 07/01/2013
Future: Tumor Treatment Field Therapy (L34738) 08/01/2014 A52678 08/01/2014
Urological Supplies (L27219) 12/15/2013 A47236 12/15/2013
Future: Vacuum Erection Devices (L34740) 08/01/2014 A52679 08/01/2014
Walkers (L27019) 02/04/2011 A47115 12/01/2009
Wheelchair Options/Accessories (L27223) 07/01/2013 A47229 07/01/2013
Wheelchair Seating (L27234) 07/01/2013 A47225 07/01/2013
Medical Policy Resources

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Note: The official local coverage determination (LCD) is the version on the Medicare Coverage Database. External

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