Article Detail - JD DME

Suppliers frequently seek guidance in determining the standard maximum quantity of ostomy supplies a beneficiary may receive in a month. Local Coverage Determination (LCD) L33828 provides a comprehensive list of commonly used codes and the typical quantities considered reasonable and necessary for monthly use. If a beneficiary requires a quantity exceeding these guidelines, the justification must be clearly documented in their medical record. Failure to provide sufficient documentation upon request may result in denial of excess quantities as not reasonable and necessary.