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May 14, 2026

LCD and Policy Article Revisions Summary for May 14, 2026

Joint DME MAC Publication

Outlined below are the principal changes to the DME MAC Local Coverage Determination (LCD) and Policy Articles (PAs) that have been revised and posted. The policies included are Osteogenesis Stimulators and Tracheostomy Care Supplies. Please review the entire LCD and PAs for complete information.

Osteogenesis Stimulators

PA

Osteogenesis Stimulators PAExternal Website

Revision Effective Date: 05/18/2026

MODIFIERS:

  • Revised: "Devices coded E0747, E0748 and E0760 are classified by the Food and Drug Administration as Class III devices; therefore, all claims for codes E0747, E0748 and E0760 must include the KF modifier. Claim lines billed without a KF modifier will be rejected as missing information." to "For dates of service on or before May 17, 2026, devices coded E0747, E0748 and E0760 were classified by the Food and Drug Administration as Class III devices; therefore, all claims for codes E0747, E0748 and E0760 must include the KF modifier. Claim lines billed for dates of service on or before May 17, 2026, without a KF modifier will be rejected as missing information."
  • Added: "For dates of service on or after May 18, 2026, devices coded E0747, E0748 and E0760 are classified by the Food and Drug Administration as Class II devices; therefore, all claims for codes E0747, E0748 and E0760 must not include the KF modifier. Claim lines billed for dates of service on or after May 18, 2026, with a KF modifier will be rejected as incorrectly coded."

05/14/2026: 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.

Tracheostomy Care Supplies

LCD

Tracheostomy Care SuppliesExternal Website

Revision Effective Date: 01/01/2024

HCPCS CODES:

  • Added: A5126 to Group 1 Codes

05/14/2026: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because the revisions are non-discretionary updates.

PA

Tracheostomy Care Supplies PAExternal Website

Revision Effective Date: 01/01/2020

ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY:

  • Added: ICD-10-CM codes Z90.02 and Z96.3 to Group 1 Codes

05/14/2026: 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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