Urological Supplies - Final LCD and Response to Comments (RTC) Article Published

Joint DME MAC Publication
Posted November 13, 2025

On November 13, 2025, the DME MACs published the following final Local Coverage Determination (LCD) and LCD-related Policy Article (PA):

  • Urological Supplies LCD (L33803) and LCD-related PA (A52521)

The LCD incorporates finalized revisions, as a result of the LCD reconsideration process and written comments received during the comment period for the proposed LCD. The final LCD includes a diagnosis of spinal cord injury as an example of immunosuppression in the coverage criteria for sterile intermittent urinary catheter kits (A4297, A4353) for Medicare beneficiaries. The final LCD includes the addition of new HCPCS codes (A4295, A4296, A4297) for hydrophilic catheters, effective for billing on January 1, 2026.

The posting of the final LCD marks the beginning of the 49-day notice period. The final LCD goes into effect for claims with dates of service on or after January 1, 2026.

Along with the final LCD and LCD-related PA, the DME MACs published a Response to Comments (RTC) Article which addresses the written comments received during the comment period. The RTC Article is as follows:

  • Response to Comments: Urological Supplies - DL33803 (A60353)

Interested stakeholders may find the RTC document by searching for the article number in the Medicare Coverage Database. The RTC document is also located in the Associated Documents section of the LCD.

Please refer to each DME MAC website for additional information about policy development and access to the final LCD.

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