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April 23, 2026

Policy Article Revisions Summary for April 23, 2026

Joint DME MAC Publication

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Automatic External Defibrillators and Glucose Monitor. Please review the entire Local Coverage Determination (LCDs) and related PAs for complete information.

Automatic External Defibrillators

PA

Automatic External Defibrillators PAExternal Website

Revision Effective Date: 09/04/2025

MODIFIERS:

  • Added: Codes K0607, K0608, and K0609 to KF modifier billing information, as clarification

04/23/2026: At this time 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.

Glucose Monitor

PA

Glucose Monitor PAExternal Website

Revision Effective Date: 02/18/2025

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:

  • Revised: "FDA" to "Food and Drug Administration (FDA)"

MODIFIERS:

  • Revised: KF modifier billing information for adjunctive CGM devices and related supplies, as clarification
  • Revised: KF modifier billing information for nonadjunctive CGM devices and related supplies, as clarification

04/23/2026: At this time 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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