Changes to Local Coverage Determinations - ICD-10 Updates

Joint DME MAC Publication

The DME MACs are providing notice that all ICD-10 LCDs and associated ICD-10 articles will be updated in the Medicare Coverage Database no later than 04/10/14. For LCDs and related Policy Articles that translate ICD-9 codes to the appropriate ICD-10 code, there is no requirement for the public comment process.

The following LCDs and related Policy Articles have ICD-9 to ICD-10 translations and will receive new LCD/Article ID numbers:

  • Ankle-Foot/Knee-Ankle-Foot Orthosis
  • Automatic External Defibrillators
  • External Breast Prostheses
  • Glucose Monitors
  • High Frequency Chest Wall Oscillation Devices
  • Immunosuppressive Drugs - Policy Article
  • Intravenous Immune Globulin - Policy Article
  • Knee Orthoses
  • Mechanical In-exsufflation Devices
  • Nebulizers
  • Oral Anticancer Drugs - Policy Article
  • Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
  • Oral Appliances for Obstructive Sleep Apnea
  • Orthopedic Footwear
  • Osteogenesis Stimulators
  • Ostomy Supplies - Policy Article
  • Oxygen and Oxygen Equipment
  • Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
  • Pressure Reducing Support Surfaces - Group 2
  • Pressure Reducing Support Surfaces - Group 3
  • Refractive Lenses
  • Suction Pumps
  • Therapeutic Shoes for Persons with Diabetes - Policy Article
  • Tracheostomy Care Supplies - Policy Article
  • Transcutaneous Electrical Nerve Stimulators (TENS)
  • Urological Supplies
  • Wheelchair Seating

All LCDs and related Policy Articles will receive a new LCD/Article ID number. The Centers for Medicare & Medicaid (CMS) has determined that although new LCD numbers will be assigned to the ICD-10 LCD policies, the policies shall not be considered new policies. CMS considers this type of update to be a coding revision that does not change the intent of coverage/non-coverage within an LCD. Therefore, if a MAC only translates ICD-9 codes to the appropriate ICD-10 code, the policy does not need to be sent through the public comment and notice process.

Last Updated Nov 03 , 2016