Retirement of Pneumatic Compression Devices Local Coverage Determination (LCD) and Related Policy Article - Effective November 14, 2024 - JA DME

Joint DME MAC Publication
Posted October 3, 2024

Chapter 13, Section 13.3 of the CMS Program Integrity Manual (CMS Pub. 100-08) grants Medicare Administrative Contractors (MACs) the discretion to revise or retire their Local Coverage Determinations (LCDs) at any time on their own initiative. The DME MACs will be retiring the Pneumatic Compression Devices LCD (L33829) and related Policy Article (A52488), effective for claims with dates of service on or after November 14, 2024, due to existence of National Coverage Determination 280.6.

Pneumatic compression devices  are covered under the Durable Medical Equipment benefit (Social Security Act §1861(s)(6)) and coverage is further outlined in the Medicare National Coverage Determinations (NCD) Manual (CMS Pub. 100-03), Chapter 1, Section 280.6. With the retirement of the LCD and Policy Article, providers and suppliers should refer to the CMS NCD 280.6 - Pneumatic Compression Devices, which addresses coverage criteria for the devices. In addition, providers and suppliers should review the recently published joint DME MAC correct coding article entitled "Pneumatic Compression Devices - Correct Coding and Billing" for more information regarding coverage and billing of pneumatic compression devices.

For claims with dates of service prior to November 14, 2024, please visit the Medicare Coverage Database (MCD) to access the retired LCD and Policy Article.

Note: LCDs and Policy Articles that have been retired for less than one year are housed on the MCD. LCDs and Policy Articles that have been retired for one year or more are accessible on the MCD Archive.

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