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Canes and Crutches - Policy Article
Article A52459 · 7 versions, 2015 to today · last changed 2020-01-01 (R6)
Version 23 of Article A52459: in force by CMS's dates 2020-01-01 onward. The policy text on this page comes from this archived version.
JA · Noridian 16013
JB · CGS 17013
JC · CGS 18003
JD · Noridian 19003
source
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CMS's newest revision note (R6, 2020-01-01), quoted
Revision Effective Date: 01/01/2020 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO FINAL RULE 1713 (84 FED. REG VOL 217): Revised: “provides” to “provide” Removed: “The link will be located here once it is available.” Added: “The required Face-to-Face Encounter and Written Order Prior to Delivery List is available here.” with a hyperlink to the list 04/14/2022: 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.
source
This quote comes from CMS's revision-history file, not from the version's own file: Our archived file.
Sections in this version: Article Text. Plus 4 sections marked N/A in this version.
ICD-10-CM Codes that Support Medical Necessity (CMS lists no codes)
Group 1: CMS lists no codes in this group
CMS published no paragraph for this group.
ICD-10-CM Codes that DO NOT Support Medical Necessity (CMS lists no codes)
Group 1: CMS lists no codes in this group
CMS published no paragraph for this group.
CMS's list for version 23. The full code table serves customers with an API key.
source
CMS's ICD-10-CM lists in the Medicare Coverage Database download, archived 2026-10-09: Our archived file.
Full verbatim text serves to customers · Customer? Log in
Version history, Article A52459
CMS numbers each version. Each box shows the version's window by CMS's stated dates. Select a version to show it on this page. Versions superseded the same day they took effect never governed a claim, so the page hides them until you ask. Version numbers CMS never published to its archive do not exist as documents.
Revision history, every version
CMS's own change log, quoted, 6 entries. It does not change with the version shown. A revision (R-number) is a change CMS logged. The version (vN) is the snapshot that carries it.
R6 · 2020-01-01 · v23
Revision Effective Date: 01/01/2020 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO FINAL RULE 1713 (84 FED. REG VOL 217): Revised: “provides” to “provide” Removed: “The link will be located here once it is available.” Added: “The required Face-to-Face Encounter and Written Order Prior to Delivery List is available here.” with a hyperlink to the list 04/14/2022: 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.
R5 · 2020-01-01 · v19
Revision Effective Date: 01/01/2020 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES: Revised: Non-coverage language for white canes and added NCD reference 03/25/2021: 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.
R4 · 2020-01-01 · v17
Revision Effective Date: 01/01/2020 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO FINAL RULE 1713 (84 Fed. Reg Vol 217): Added: Section and related information based on Final Rule 1713 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY: Revised: Section header “ICD-10 Codes that are Covered” updated to “ICD-10 Codes that Support Medical Necessity” ICD-10 CODES THAT DO NOT SUPPORT MEDICAL NECESSITY: Revised: Section header “ICD-10 Codes that are Not Covered” updated to “ICD-10 Codes that DO NOT Support Medical Necessity” 02/06/2020: 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.
R3 · 2017-01-01 · v11
01/31/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This is an article and not a local coverage determination.
R2 · 2017-01-01 · v7
Revision Effective Date: 01/01/2017 POLICY SPECIFIC DOCUMENTATION REQUIREMENTS: Added: Direction to Standard Documentation Requirements RELATED LOCAL COVERAGE DOCUMENTS: Added: LCD-related Standard Documentation Requirements Language Article
R1 · 2016-07-01 · v5
Effective July 1, 2016 oversight for DME MAC Articles is the responsibility of CGS Administrators, LLC 18003 and 17013 and Noridian Healthcare Solutions, LLC 19003 and 16013. No other changes have been made to the Articles.
Receipts for auditors
Version 23 of Article A52459, shown on this page: in force by CMS's dates 2020-01-01 onward. Archived 2026-09-26. CMS's copy · Our archived file. 5 of 5 sections are proven word-identical to the archived file.
Every archived version of Article A52459 (7 versions, CMS's dates, window by the as-of rule).
| Document | Version | In force | Archived on | Verify |
|---|---|---|---|---|
| Article A52459 | version 2 | 2015-10-01 to 2016-06-30 | 2026-09-26 | CMS's copy · Our archived file |
| Article A52459 | version 5 | 2016-07-01 to 2016-12-31 | 2026-09-26 | CMS's copy · Our archived file |
| Article A52459 | version 7 | 2017-01-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52459 | version 11 | 2017-01-01 to 2019-12-31 | 2026-09-26 | CMS's copy · Our archived file |
| Article A52459 | version 17 | 2020-01-01, superseded same day | 2026-10-09 | CMS's copy · Our archived file |
| Article A52459 | version 19 | 2020-01-01, superseded same day | 2026-10-09 | CMS's copy · Our archived file |
| Article A52459 | version 23 shown | 2020-01-01 to today | 2026-09-26 | CMS's copy · Our archived file |
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