Skip to Main Content

Print | Bookmark | Email | Font Size: + |

April 20, 2023

LCD and Policy Article Revisions Summary for April 20, 2023

Outlined below are the principal changes to the DME MAC Local Coverage Determination (LCD) and Policy Article (PA) that have been revised and posted. The policy included is Oxygen and Oxygen Equipment. Please review the entire LCD and related PA for complete information.

Oxygen and Oxygen Equipment

Oxygen and Oxygen Equipment LCDExternal Website

Revision Effective Date: 04/01/2023


  • Removed: "Beneficiaries do not change group classification when going from initial coverage to continued coverage based upon changes in blood oxygen testing results" (effective 09/27/2021)

04/20/2023: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because the revisions are non-discretionary updates due to updates to National Coverage Determination 240.2.

Oxygen and Oxygen Equipment PAExternal Website

Revision Effective Date: 04/01/2023


  • Added: Q-modifier billing instructions for normoxemic patients

04/20/2023: At this time the 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.


26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved