LCDs and Policy Articles

Research Medicare coverage policies, coding articles, documentation rules, and related HCPCS code connections.

lcd

Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea

Coverage, initial and continued-use criteria, replacement, refill, accessory frequency, order, and proof-of-delivery policy for PAP devices and supplies.

DME MACs / CMSverified source

policy article

Positive Airway Pressure (PAP) Devices Policy Article

Coding, modifier, documentation, and policy-specific billing instructions for PAP devices and related accessories.

DME MACs / CMSverified source

policy article

Standard Documentation Requirements for All Claims Submitted to DME MACs

General DMEPOS order, medical-record, continued need and use, refill, and proof-of-delivery documentation requirements.

DME MACs / CMSverified source

manual

CMS Medicare Coverage Database Search

Use this official source to locate LCDs and billing articles by HCPCS code, keyword, jurisdiction, or contractor.

CMSsource directory

manual

CMS Local Coverage Determinations

CMS overview for LCDs and related local coverage process resources.

CMSsource directory

manual

Noridian JD DME LCD Directory

DME MAC LCD directory that should be mapped to HCPCS records during research review.

Noridianneeds code mapping

manual

CGS JB LCD and Coverage Resources

DME MAC coverage resources that should be connected to matching HCPCS records after review.

CGSneeds code mapping