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Issue Number - Name
0020 - Complex Medical Necessity Patient Lifts
Review Type
Claim Type
DME by Supplier and DME by Physician
Region and State
All States
Date Approved


Medical Necessity: Patient lifts must meet basic coverage criteria whether at initial rental or at any point during a rental period, as outlined Local Coverage Determinations (LCDs) for Patient Lifts (L33799 and retired LCDs L11577, L27218, L11562, and L5064).

Affected Codes

  • E0630, E0635, E0639, E0640

Applicable Policy References

  • CGS and Noridian Healthcare Solutions LCD, L33799, Effective date 10/01/2015
  • CGS and Noridian Healthcare Solutions Article, A52516, Effective date 10/01/2015
  • CGS LCD, L11562, Effective date 10/01/1993, Retired 09/30/2015
  • NHIC LCD, L5064, Effective date 10/01/1993, Retired 09/30/2015
  • NGS LCD, L27218, Effective date 10/01/1993, Retired 09/30/2015
  • Noridian LCD, L11577, Effective date: 10/01/1993, Retired 09/30/2015
  • CGS Article, A23976, Effective date 01/01/2005, Retired 09/30/2015
  • NHIC Article, A23657, Effective date 01/01/2005, Retired 09/30/2015
  • NGS Article, A47230, Effective date 01/01/2005, Retired 09/30/2015
  • Noridian Article, A23901, Effective date 01/01/2005, Retired 09/30/2015
  • CMS Article, A55426, Effective date 01/01/2017