Archived LCDs

Access an archived Local Coverage Determination (LCD) or Policy Article (PA) from the table below. All LCDs are listed alphabetically.

  • To find a Retired LCD, select the desired LMRP/LCD ID.
    • This link will take a user to the LCD on the CMS Medicare Coverage Database (MCD) Archive Site. The last retired LCD version will appear (noted by revision effective date). If looking for an older version, scroll to the bottom of the LCD and select the version based on the effective dates listed. Select the 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.

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

Last Updated Dec 23, 2016