Skip to Main Content

Print | Bookmark | Font Size: + |

May 28, 2026

Policy Article Revisions Summary for May 28, 2026

Joint DME MAC Publication

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Standard Documentation Requirements for All Claims Submitted to DME MACs and Wheelchair Seating. Please review the entire Local Coverage Determinations (LCDs) and related PAs for complete information.

Standard Documentation Requirements for All Claims Submitted to DME MACs

PA

Standard Documentation Requirements for All Claims Submitted to DME MACs PAExternal Website

Revision Effective Date: 01/01/2024

PROOF OF DELIVERY (POD):

  • Revised: "National Supplier Clearinghouse" to "National Provider Enrollment Contractors"

FACE-TO-FACE ENCOUNTER:

  • Revised: "The exception to this requirement is for items replaced with an identical item (same HCPCS code) following the expiration of the five-year RUL." to "The exception to this requirement is for items replaced with an identical item (same HCPCS code) following the expiration of the RUL of the item." as clarification

05/28/2026: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Wheelchair Seating

PA

Wheelchair Seating PAExternal Website

Revision Effective Date: 10/01/2025

CODING GUIDELINES:

  • Added: "Code E1033 must not be billed in addition to codes E0953, E0956, E0957, or E0960. Code E1033 must not be used for mounting hardware related to a wheelchair seat cushion or back cushion code." as clarification
  • Added: "Code E1034 must not be billed in addition to codes E0953, E0955, E0957, or E0960. Code E1034 must not be used for mounting hardware related to a wheelchair seat cushion or back cushion code." as clarification

05/28/2026: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Note: The information contained in this article is only a summary of revisions to the LCDs and/or PAs. For complete information on any topic, you must review the LCDs and/or PAs.

spacer

26 Century Blvd, Suite NT600, Nashville, TN 37214 © CGS Administrators, LLC. All Rights Reserved