DME MAC Joint Publications
2025 Current Joint Publications
March 2025
- New HCPCS Codes for Wheelchair Accessories – Coding and Billing – 03.13.25
- Dear Physician – Parenteral Nutrition – Coverage Criteria and Documentation Requirements
– 03.06.25
- VYALEV® (foscarbidopa and foslevodopa), the VYAFUSER Pump, and Related Infusion Supplies – Correct Coding and Billing – Revised – 03.06.25
February 2025
- Policy Article Revisions Summary for February 13, 2025 – 02.14.25
- Dear Physician – Walkers – Coverage Criteria and Documentation Requirements
– 02.13.25
- New HCPCS Codes for Dynamic Adjustable Joint Stretching Devices – Coding and Billing – 02.06.25
January 2025
- Policy Article Revision Summary for January 23, 2025 – 01.30.25
- Nebulizers, External Infusion Pumps and Related Drugs – 01.23.25
- Recording and Transcript Published – Topical Oxygen Therapy Virtual Contractor Advisory Committee (CAC) Meeting – 01.23.25
- Contractor Advisory Committee (CAC) Members for Topical Oxygen Treatment (TOT) – 01.23.25
- Topical Oxygen Therapy Contractor Advisory Committee (CAC) Key Questions – 01.23.25
- Concentric Adjustable Torsion Joints – Correct Coding – Revised – 01.16.25
- LCD and Policy Article Revisions Summary for January 16, 2025 – 01.16.25
- Dynamic Adjustable Devices, Static Progressive Stretch Devices, and Use of Modifiers – 01.02.25
- 2025 HCPCS Code Update – January Edition – Correct Coding – 01.02.25
- Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – January 2025 – 01.02.25
2024 Current Joint Publications
December 2024
- LCD and Policy Article Revisions Summary for December 19, 2024 – 12.19.24
- Policy Article Revisions Summary for December 5, 2024 – 12.05.24
November 2024
- Supplier Exit from Oxygen Equipment Business – Revised – 11.25.24
- Topical Oxygen Therapy Contractor Advisory Committee (CAC) Agenda – December 11, 2024 – 11.14.24
- Contractor Advisory Committee (CAC) Meeting Information – Oxygen and Oxygen Equipment (L33797) – 11.07.24
- Policy Article Revision Summary for November 7, 2024 – 11.07.24
- Code Verification Review Requirement for Lower Limb Orthoses (L1832, L1833, and L1851) and Lumbar Sacral Orthoses (L0648 and L0650) – Revised – 11.07.24
- Dear Physician – Respiratory Assist Devices for Chronic Obstructive Pulmonary Disease – 11.07.24
- Dear Physician – Respiratory Assist Devices for Hypoventilation Syndrome – 11.07.24
- Dear Physician – Respiratory Assist Devices for Restrictive Thoracic Disorders – 11.07.24
- Dear Physician – Sleep Test Scoring and Medicare – 11.07.24
- Dear Physician – Therapeutic Shoes for Persons with Diabetes: Physician Documentation Requirements – 11.07.24
October 2024
- Dear Physician – Home Oxygen Initial Qualification Testing
– 10.31.24
- Dear Physician – Medical Records
– 10.31.24
- Dear Physician – Durable Medical Equipment – An Easy Option for Documenting Continued Use
– 10.31.24
- Dear Physician – Respiratory Assist Devices for Central Sleep Apnea or Complex Sleep Apnea
– 10.31.24
- Dear Physician – Negative Pressure Wound Therapy
– 10.31.24
- Dear Physician – Documentation Requirements for Power Wheelchairs and Power Operated Vehicles
– 10.31.24
- Dear Physician – Insulin for Insulin Infusion Pumps
– 10.24.24
- Dear Physician – Positive Airway Pressure Devices: Initial Qualification
– 10.24.24
- Dear Physician – Commodes – Documentation Requirements
– 10.24.24
- Dear Physician – Masks: Positive Airway Pressure Devices and Respiratory Assist Devices
– 10.24.24
- Dear Physician – Documentation of Artificial Limbs and Braces (O&P)
– 10.24.24
- Dear Physician – Positive Airway Pressure (PAP) Devices: Replacement
– 10.17.24
- Dear Physician – Intermittent Urinary Catheterization
– 10.17.24
- Dear Physician – Glucose Monitors and Supplies
– 10.17.24
- Dear Physician – Airway Clearance: High Frequency Chest Wall Oscillation Devices & Mechanical In-Exsufflation Devices Physician Documentation Requirements
– 10.17.24
- LCD and Policy Article Revisions Summary for October 17, 2024 – 10.17.24
- Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) – Correct Coding – Revised – 10.10.24
- Custom Fitted Orthotic HCPCS Codes Without a Corresponding Off-the-Shelf Code – Correct Coding – Revised – 10.10.24
- Dear Physician – Nebulizers – Coverage Criteria and Physician Documentation Requirements
– 10.10.24
- Dear Physician – Manual Wheelchair Bases – Documentation Requirements
– 10.10.24
- Dear Physician – Durable Medical Equipment – Documentation of Continued Medical Necessity
– 10.10.24
- Dear Physician – Continuous Glucose Monitors
– 10.10.24
- Dear Physician – CERT Enteral Nutrition
– 10.10.24
- Pneumatic Compression Devices – Correct Coding and Billing – 10.03.24
- Retirement of Pneumatic Compression Devices Local Coverage Determination (LCD) and Related Policy Article – Effective November 14, 2024 – 10.03.24
September 2024
- 2024 HCPCS Code Update – October Edition – Correct Coding – 09.26.24
- Policy Article Revision Summary for September 26, 2024 – 09.26.24
- Policy Article Revisions Summary for September 12, 2024 – 09.12.24
- Retired: Prior Authorization and Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1845, L1951) and Spinal Orthoses (L0631, L0637, L0639) – 09.05.24
August 2024
- Policy Article Revisions Summary for August 29, 2024 – 08.29.24
- Correct Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses) – Revised – 08.22.24
- Dear Physician – Hospital Beds and Accessories
– 08.15.24
- Dear Physician – Written Order Prior to Delivery and Face-to-Face Encounter
– 08.15.24
- Dear Physician – Medicare Prior Authorization Condition of Payment for Group 2 Pressure Reducing Support Surfaces (PRSS)
– 08.15.24
- Dear Physician – Ankle-Foot/Knee-Ankle-Foot Orthoses
– 08.15.24
- Dear Physician – Medicare Prior Authorization for Certain Power Mobility Devices and Accessories
– 08.15.24
- Dear Physician – Knee Orthoses
– 08.15.24
- Policy Article Revisions Summary for August 8, 2024 – 08.08.24
- LCD Revisions Summary for August 1, 2024 – 08.01.24
July 2024
- LCD and Policy Article Revisions Summary for July 18, 2024 – 07.18.24
- Lower Limb Prostheses – Final LCD and Response to Comments (RTC) Article Published – 07.18.24
- Retired: ALYGLO® (immune globulin intravenous, human-stwk), 10% Liquid – Correct Coding and Coverage – 07.11.24
June 2024
- Policy Article Revisions Summary for June 27, 2024 – 06.27.24
- Policy Article Revisions Summary for June 20, 2024 – 06.20.24
- Policy Article Revisions Summary for June 13, 2024 – 06.13.24
- Dear Physician – Medicare Record Authentication – Tips for Physicians
– 06.10.24
- Dear Physician – Medicare Coverage of Immunosuppressive Drugs
– 06.10.24
- Policy Article Revisions Summary for June 6, 2024 – 06.06.24
May 2024
- Retired: Code Verification Review Requirement for Lower Limb Orthoses (L1843, L1951) and Osteogenesis Stimulator (E0747, E0748, E0760) – 05.30.24
- Power Wheelchair Electronics Clarification – 05.30.24
- Policy Article Revisions Summary for May 16, 2024 – 05.16.24
- Correct Billing and Coding of Ventilators – 05.09.24
- Code Verification Review Requirement for Multi-Functional Ventilators – 05.09.24
- Policy Article Revisions Summary for May 9, 2024 – 05.09.24
- Retired: Correct Coding of ActaStim-S Spine Fusion Stimulator – 05.02.24
- LCD and Policy Article Revisions Summary for May 2, 2024 – 05.02.24
April 2024
- 2024 HCPCS Code Update – April Edition – Correct Coding – 04.11.24
- LCD Revisions Summary for April 4, 2024 – 04.04.24
March 2024
- PureWick Urine Collection System – Coding and Billing Instructions – Revised – 03.28.24
- Policy Article Revisions Summary for March 21, 2024 – 03.21.24
- Dear Certifying Physician – Therapeutic Shoes for Persons with Diabetes: Tips for Certifying Physicians and Podiatrist Suppliers
– 03.14.24
- Policy Article Revisions Summary for March 14, 2024 – 03.14.24
- Policy Article Revisions Summary for March 7, 2024 – 03.07.24
February 2024
- Lymphedema Compression Treatment Items – Correct Coding and Billing – Revised – 02.29.24
- Policy Article Revisions Summary for February 29, 2024 – 02.29.24
- Retired: External Infusion Pumps and Related Drugs – Revised – 02.22.24
- External Upper Limb Tremor Stimulator Therapy – Final LCD and Response to Comments (RTC) Article Published – 02.22.24
- LCD Revisions Summary for February 15, 2024 – 02.15.24
- Policy Article Revisions Summary for February 8, 2024 – 02.08.24
- Open Meeting Agenda – Lower Limb Prostheses Proposed Local Coverage Determination (LCD) – 02.08.24
- 3-D Printed Orthotic Devices – Correct Coding – 02.01.24
January 2024
- LCD Revisions Summary for January 25, 2024 – 01.25.24
- Lymphedema Compression Treatment Items Requirement for Registration with the Food and Drug Administration – 01.25.24
- Open Meeting Announcement – Lower Limb Prostheses Proposed Local Coverage Determination (LCD) – 01.18.24
- Proposed Local Coverage Determination (LCD) Released for Comment – Lower Limb Prostheses – 01.18.24
- Retired: Home Assessment for Manual Wheelchairs – Reminder – 01.18.24
- Policy Article Revisions Summary for January 18, 2024 – 01.18.24
- Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – January 2024 – 01.04.24
- 2024 HCPCS Code Update – January Edition – Correct Coding – 01.04.24
2023 Current Joint Publications
December 2023
- LCD and Policy Article Revisions Summary for December 28, 2023 – 12.28.23
- Powered Upper Extremity Exoskeleton – Correct Coding – 12.28.23
- Powered Lower Extremity Exoskeleton – Correct Coding – 12.28.23
- HCPCS Codes K1018 and K1019 – Correct Coding – Revised – 12.28.23
- LCD and Policy Article Revisions Summary for December 14, 2023 – 12.14.23
- Policy Article Revisions Summary for December 7, 2023 – 12.07.23
November 2023
- Oxygen Modifiers – Billing Reminder – 11.30.23
- LCD and Policy Article Revisions Summary for November 30, 2023 – 11.30.23
- LCD and Policy Article Revisions Summary for November 9, 2023 – 11.09.23
October 2023
- Policy Article Revisions Summary for October 26, 2023 – 10.26.23
- LCD and Policy Article Revisions Summary for October 12, 2023 – 10.12.23
- Policy Article Revisions Summary for October 5, 2023 – 10.05.23
September 2023
- 2023 HCPCS Code Update – October Edition – Correct Coding – 09.28.23
- Policy Article Revisions Summary for September 28, 2023 – 09.28.23
- Policy Article Revisions Summary for September 21, 2023 – 09.21.23
- L1681 Prefabricated Bilateral Hip Abduction Orthosis – Correct Coding – 09.14.23
- Pneumatic Compression Devices – Final LCD and Response to Comments (RTC) Article Published – 09.07.23
- LCD and Policy Article Revisions Summary for September 7, 2023 – 09.07.23
- Retired: Correct Coding and Coverage of Ventilators – Revised – 09.07.23
August 2023
- LCD and Policy Article Revisions Summary for August 17, 2023 – 08.17.23
- Policy Article Revisions Summary for August 3, 2023 – 08.03.23
July 2023
- LCD Revisions Summary for July 27, 2023 – 07.27.23
- Policy Article Revisions Summary for July 20, 2023 – 07.20.23
- LCD Revisions Summary for July 13, 2023 – 07.13.23
- Policy Article Revisions Summary for July 6, 2023 – 07.06.23
June 2023
- 2023 HCPCS Code Update – July Edition – Correct Coding – 06.29.23
- LCD and Policy Article Revisions Summary for June 22, 2023 – 06.22.23
- LCD and Policy Article Revisions Summary for June 15, 2023 – 06.15.23
- Open Meeting Agenda – External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) – 06.13.23
May 2023
- Open Meeting Announcement – External Upper Limb Tremor Stimulator Therapy Proposed Local Coverage Determination (LCD) – 05.25.23
- Proposed Local Coverage Determination (LCD) Released for Comment – External Upper Limb Tremor Stimulator Therapy – 05.25.23
- Policy Article Revisions Summary for May 25, 2023 – 05.25.23
- Claim Submission Instruction Post-PHE – Continued Use of Modifier CR and COVID Narrative – Revised – 05.18.23
- Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms – Final LCDs and Response to Comments (RTC) Articles Published – 05.18.23
- LCD and Policy Article Revisions Summary for May 18, 2023 – 05.18.23
- 2023 HCPCS Code Update – April Edition – Correct Coding – 05.04.23
- Policy Article Revisions Summary for May 4, 2023 – 05.04.23
April 2023
- LCD and Policy Article Revisions Summary for April 27, 2023 – 04.27.23
- LCD and Policy Article Revisions Summary for April 20, 2023 – 04.20.23
- LCD and Policy Article Revisions Summary for April 13, 2023 – 04.13.23
March 2023
- LCD and Policy Article Revisions Summary for March 30, 2023 – 03.30.23
- Open Meeting Teleconference Information and Agenda – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) – 03.09.23
- Glucose Monitors – Final LCD and Response to Comments (RTC) Article Published – 03.02.23
- LCD and Policy Article Revisions Summary for March 2, 2023 – 03.02.23
February 2023
- LCD and Policy Article Revisions Summary for February 23, 2023 – 02.23.23
- Open Meeting Announcement – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms Proposed Local Coverage Determinations (LCDs) – 02.09.23
- Proposed Local Coverage Determinations (LCDs) Released for Comment – Enteral Nutrition, Osteogenesis Stimulators, Parenteral Nutrition and Seat Lift Mechanisms – 02.09.23
January 2023
- Policy Article Revisions Summary for January 26, 2023 – 01.26.23
- 2023 HCPCS Code Update – January Edition – Correct Coding – 01.19.23
- Policy Article Revisions Summary for January 19, 2023 – 01.19.23
- KX Modifier Use for External Infusion Pumps – 01.12.23
- LCD and Policy Article Revisions Summary for January 12, 2023 – 01.12.23
2022 Current Joint Publications
December 2022
- Correct Coding – Submitting Oxygen Claims with Modifiers KX, GA, GY, and GZ – Revised – 12.29.22
- LCD and Policy Article Revisions Summary for December 29, 2022 – 12.29.22
- Reminder – Oxygen Qualification Tests and Documentation – Revised – 12.22.22
- Retired: CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency – Revised – 12.22.22
- Video and Transcript Published – Proposed Glucose Monitors LCD (DL33822) Virtual Open Meeting – 12.15.22
- Policy Article Revisions Summary for December 1, 2022 – 12.01.22
November 2022
- Policy Article Revisions Summary for November 24, 2022 – 11.28.22
- Billing Instructions – Parenteral and Enteral Nutrition – 11.17.22
- CMN and DIF Elimination – Correct Coding and Billing – 11.17.22
- LCD and Policy Article Revisions Summary for November 17, 2022 – 11.17.22
- Comment Period Closes November 19, 2022 for the Proposed Glucose Monitors LCD – 11.11.22
- Open Meeting Agenda – Glucose Monitors Proposed Local Coverage Determination (LCD) – 11.01.22
October 2022
- 2022 HCPCS Code Update – October Edition – Correct Coding – 10.27.22
- Open Meeting Announcement – Glucose Monitors Proposed Local Coverage Determination (LCD) – 10.06.22
- Proposed Local Coverage Determination (LCD) Released for Comment – Glucose Monitors – 10.06.22
September 2022
- Policy Article Revisions Summary for September 22, 2022 – 09.22.22
- Basics of Choosing the Correct HCPCS Code – Correct Coding – 09.08.22
- LCD Revisions Summary for September 8, 2022 – 09.08.22
July 2022
- LCD and Policy Article Revisions Summary for July 28, 2022 – 07.28.22
- Policy Article Revisions Summary for July 7, 2022 – 07.07.22
June 2022
May 2022
April 2022
- LCD Revisions Summary for April 28, 2022 – 04.28.22
- Nebulizers – Final LCD and Response to Comments (RTC) Article Published – 04.21.22
- LCD and Policy Article Revisions Summary for April 21, 2022 – 04.21.22
- 2022 HCPCS Code Update – April Edition – Correct Coding – Revised – 04.14.22
- Policy Article Revisions Summary for April 14, 2022 – 04.14.22
March 2022
- Policy Article Revisions Summary for March 31, 2022 – 03.31.22
- LCD and Policy Article Revisions Summary for March 24, 2022 – 03.24.22
- PDAC Code Verification Reviews for CGM Devices – Coding and Billing – 03.17.22
- Correct Coding and Billing of Halo Procedure – 03.17.22
- LCD Revisions Summary for March 10, 2022 – 03.10.22
February 2022
- Irrigation Supply Sleeves – Correct Coding – 02.10.22
- Policy Article Revisions Summary for February 3, 2022 – 02.03.22
January 2022
2021 Current Joint Publications
December 2021
- LCD and Policy Article Revisions Summary for December 30, 2021 – 12.30.21
- HCPCS Code Pricing Correction – Dynamic Positioning Hardware (E2398) – 12.20.21
- Videos and Transcripts Posted of the November 3, 2021 Virtual Open Meetings – 12.17.21
- Partial Foot, Shoe Insert (Toe Fillers), and Shoe Inserts for Diabetics – Coding Based on Benefit Category – Correct Coding – 12.16.21
- 2022 HCPCS Code Update – January Edition – Correct Coding – 12.16.21
- Retired: Enteral Nutrition – Correct Coding and Billing – Revised – 12.16.21
- Retired: Parenteral Nutrition – Correct Coding and Billing – Revised – 12.16.21
November 2021
- Correct Coding of Finger, Hand, Hand-Finger and Wrist-Hand-Finger Braces (Orthoses) – Revised – 11.18.21
- Articulating Digit(s) and Prosthetic Hands – Correct Coding – Revised – 11.11.21
- Policy Article Revisions Summary for November 11, 2021 – 11.11.21
- Retired: Billing and Code Verification of HCPCS Code E0467 (Multi-Functional Ventilator) – Correct Coding – 11.11.21
October 2021
- Oxygen and Oxygen Equipment Local Coverage Determination (LCD) L33797 and Related Policy Article (PA) A52514 Update – 10.28.21
- Medicare Coverage for Shoes – Correct Coding – Revised – 10.27.21
- Open Meeting Agenda – Nebulizers Proposed Local Coverage Determination (LCD) – 10.20.21
- Open Meeting Agenda – Pneumatic Compression Devices Proposed Local Coverage Determination (LCD) – 10.20.21
- 2021 HCPCS Code Update – October Edition – Correct Coding – 10.07.21
- LCD and Policy Article Revisions Summary for October 7, 2021 – 10.07.21
- Local Coverage Determination Release for Notice – Transcutaneous Electrical Nerve Stimulators (TENS) – 10.07.21
September 2021
- Insulin Used with Continuous External Insulin Infusion Pumps – Correct Coding – Revised – 09.30.21
- Open Meeting Announcement – Nebulizers Proposed Local Coverage Determination (LCD) – 09.30.21
- Open Meeting Announcement – Pneumatic Compression Devices Proposed Local Coverage Determination (LCD) – 09.30.21
- Proposed Local Coverage Determinations (LCDs) Released for Comment – Nebulizers and Pneumatic Compression Devices – 09.30.21
- Warranty, Reasonable Useful Lifetime (RUL), and the Minimum Lifetime Requirement (MLR) for Durable Medical Equipment – Correct Coding – Revised – 09.30.21
- Reminder: Enteral Nutrition (L38955) and Parenteral Nutrition (L38953) Final LCDs and Related Policy Articles – Effective for Claims with Dates of Service on or after September 5, 2021 – 09.02.21
- 2021 HCPCS Code Update – July Edition – Correct Coding – Revised – 09.02.21
- 2020 HCPCS Code Update – October Edition – Correct Coding – Revised – 09.02.21
August 2021
- L1690 Prefabricated Bilateral Lumbo-Sacral Hip Orthosis – Correct Coding – Revised – 08.26.21
- Sleep Test Requirements – 08.05.21
July 2021
- 2021 HCPCS Code Update – April Edition – Correct Coding – 07.29.21
- Enteral Nutrition and Parenteral Nutrition – Final LCDs and Response to Comments (RTC) Articles Published – 07.22.21
- Policy Article Revisions Summary for July 8, 2021 – 07.08.21
- Incorrect Use of HCPCS Code A9279 – Correct Coding – Revised – 07.01.21
June 2021
- Oral Appliances for Obstructive Sleep Apnea, Positive Airway Pressure (PAP) Devices for Obstructive Sleep Apnea and Respiratory Assist Devices – Final LCDs and Response to Comments (RTC) Articles Published – 06.24.21
- LCD and Policy Article Revisions Summary for June 24, 2021 – 06.24.21
- Code Verification Review Requirement for Articulating Digit(s) and Prosthetic Hands – Revised – 06.10.21
- LCD and Policy Article Revisions Summary for June 3, 2021 – 06.03.21
- External Infusion Pumps & Glucose Monitors – Final LCDs and Response to Comments (RTC) Articles Published – 06.03.21
May 2021
- Policy Article Revisions Summary for May 27, 2021 – 05.27.21
- Custom Fabricated Wheelchair Seat and Back Cushions – Correct Coding – Revised – 05.06.21
- Retired: Use of CR Modifier and "COVID-19" Narrative on Specified Claims Due to the COVID-19 PHE – Revised – 05.06.21
April 2021
- LCD and Policy Article Revisions Summary for April 29, 2021 – 04.29.21
- Policy Article Revisions Summary for April 1, 2021 – 04.01.21
March 2021
- Policy Article Revisions Summary for March 25, 2021 – 03.25.21
- LCD and Policy Article Revisions Summary for March 18, 2021 – 03.18.21
- Oral Appliances for Obstructive Sleep Apnea, Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea, and Respiratory Assist Devices Proposed Local Coverage Determinations (LCDs) Open Meeting Agenda – 03.16.21
- Enteral Nutrition and Parenteral Nutrition Proposed Local Coverage Determinations (LCDs) Open Meeting Agenda – 03.16.21
- Policy Article Revisions Summary for March 11, 2021 – 03.11.21
February 2021
- Proposed Local Coverage Determinations (LCDs) Released for Comment – Enteral Nutrition, Oral Appliances for Obstructive Sleep Apnea, Parenteral Nutrition, Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea, and Respiratory Assist Devices – 02.25.21
- Open Meeting Announcement – Enteral Nutrition and Parenteral Nutrition Proposed Local Coverage Determinations (LCDs) – 02.25.21
- Open Meeting Announcement – Oral Appliances for Obstructive Sleep Apnea, Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea, and Respiratory Assist Devices Proposed Local Coverage Determinations (LCDs) – 02.25.21