Archived LCDs

To view archived Local Coverage Determinations (LCD) on the CMS Medicare Coverage Database (MCD), follow the instructions below.

  1. Go to CMS Archived Versions of Active LCDs by Contractor Index Criteria webpage to be directed to search option of MCD archive
    • MCD will open in new window
  2. Select Contractor(s): "Noridian Healthcare Solutions, LLC (DME MAC, 19003, Jurisdiction D)"

    Image displays the Contractor to select within listing. Noridian Healthcare Solutions, LLC (DME MAC, 19003, Jurisdiction D)
  3. Click "Submit"
  4. An alphabetical list of all JD DME archived LCDs will open
  5. Click "LMRP/LCD ID" number to open desired LCD
    • User must select "Accept" to view LCD. The link will take a user to last retired LCD version (noted by revision effective date)
      • If looking for an older version, scroll to bottom of LCD and select version based on effective dates listed. Select desired version to open it.

Access the related PA from the "Associated Documents" section located at the bottom of the LCD. See "Related Local Coverage Documents – Article(s)" and select the Article(s) hyperlink to view the PA.

Title LCD ID
Ankle-Foot/Knee-Ankle-Foot Orthosis L142
Automatic External Defibrillators L13577
Canes and Crutches L11485
Cervical Traction Devices L15300
Cold Therapy L11567
Commodes L11486
Enteral Nutrition L11568
External Breast Prostheses L11569
External Infusion Pumps L11570
Eye Prostheses L194
Facial Prostheses L11571
Glucose Monitors L196
Heating Pads and Heat Lamps L28484
High Frequency Chest Wall Oscillation Devices L12739
Hospital Beds and Accessories L11572
Immunosuppressive Drugs L68
Infrared Heating Pad Systems L12743
Intrapulmonary Percussive Ventilation System L11573
Intravenous Immune Globulin L27261
Knee Orthoses L27058
Lower Limb Prostheses L11453
Manual Wheelchair Bases L11454
Mechanical In-exsufflation Devices L12744
Nebulizers L11488
Negative Pressure Wound Therapy Pumps L11489
Oral Anticancer Drugs L11574
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) L11575
Oral Appliances for Obstructive Sleep Apnea L28606
Orthopedic Footwear L11456
Osteogenesis Stimulators L11490
Ostomy Supplies L11491
Oxygen and Oxygen Equipment L11457
Parenteral Nutrition L11576
Patient Lifts L11577
Pneumatic Compression Devices L11492
DRAFT - Pneumatic Compression Devices L34820
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea L171
Power Mobility Devices L23598
Pressure Reducing Support Surfaces - Group 1 L11578
Pressure Reducing Support Surfaces - Group 2 L11579
Pressure Reducing Support Surfaces - Group 3 L11580
Refractive Lenses L51
Respiratory Assist Devices L11493
Seat Lift Mechanisms L96
Speech Generating Devices L108
Spinal Orthoses: TLSO and LSO L11459
Suction Pumps L11494
Surgical Dressings L11460
Therapeutic Shoes for Persons with Diabetes L157
Tracheostomy Care Supplies L166
Transcutaneous Electrical Joint Stimulation Devices (TEJSD) L28492
Transcutaneous Electrical Nerve Stimulators (TENS) L11495
Tumor Treatment Field Therapy L34734
Urological Supplies L11581
Vacuum Erection Devices (VED) L34736
Walkers L11461
Wheelchair Options/Accessories L11462
Wheelchair Seating L15670


Last Updated Oct 17, 2018