Skip to Main Content

Print | Bookmark | Email | Font Size: + |

October 28, 2021

Oxygen and Oxygen Equipment Local Coverage Determination (LCD) L33797 and Related Policy Article (PA) A52514 Update

Joint DME MAC Article
Posted October 28, 2021

On September 27, 2021, the Centers for Medicare and Medicaid Services' (CMS) final Decision MemoExternal website announced the revision of National Coverage Determination (NCD) 240.2 – Home Use of Oxygen, and removed NCD 240.2.2 – Home Oxygen Use to Treat Cluster Headache (CH). Following the issuance of these policy changes, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) are in the process of revising the Oxygen and Oxygen Equipment Local Coverage Determination (L33797) and the related Policy Article (A52514) to reflect the national CMS policy changes to NCD 240.2 and the removal of NCD 240.2.2 (see Appendix B and C of CMS Decision MemoExternal website).

Of note, coverage for hyperbaric and topical oxygen therapy in the Oxygen and Oxygen Equipment LCD (L33797) will remain unchanged.

As a reminder, on April 06, 2020, CMS issued an Interim final rule with comment period (CMS-1744-IFCExternal website), which suspended enforcement of the clinical indications for coverage for NCD 240.2 and LCD L33797.


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