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July 28, 2022

LCD and Policy Article Revisions Summary for July 28, 2022

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 External Infusion Pumps. Please review the entire LCD and related PA for complete information.

External Infusions Pumps


External Infusions Pumps LCDExternal website

Revision Effective Date: 07/01/2022


  • Added: J1551 to group 3 codes, effective for billing on or after July 1, 2022

07/28/2022: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because the revisions are non-discretionary updates to CMS HCPCS coding determinations.


External Infusions Pumps PAExternal website

Revision Effective Date: 07/01/2022


  • Revised: J7799 (Cutaquig) to HCPCS code J1551 in JB modifier requirements


  • Revised: Billing direction dates for Cutaquig under HCPCS code J7799
  • Added: Billing direction for Cutaquig for HCPCS Code J1551, effective on or after July 1, 2022
  • Revised: specific SCIg preparations table to list HCPCS J1551, instead of J7799 (Cutaquig)


  • Revised: Cutaquig HCPCS code to J1551 under Group 3

07/28/2022: 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.


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