External Upper Limb Tremor Stimulator Therapy - Final LCD and Response to Comments (RTC) Article Published

Joint DME MAC Publication
Posted February 22, 2024

On February 22, 2024, the DME MACs published the following final Local Coverage Determination (LCD) and LCD-related Policy Article (PA):

  • External Upper Limb Tremor Stimulator Therapy LCD (L39591) and LCD-related PA (A59680)

The LCD consists of finalized content, as a result of the New LCD Request Process and written comments received during the comment period for the proposed LCD. The final LCD adds coverage of external upper limb tremor stimulator therapy for a select Medicare beneficiary population with essential tremor symptoms that significantly impair their ability to perform dominant hand related activities of daily living.

The posting of the final LCD marks the beginning of the 45-day notice period. The final LCD goes into effect for claims with dates of service on or after April 7, 2024.

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: External Upper Limb Tremor Stimulator Therapy LCD DL39591 (A59679)

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.

Last Updated Feb 22 , 2024