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Surgical Dressings - Policy Article - Effective October 2015

Article A52491 · 3 versions, 2015 to today · last changed 2017-07-24 (R2)

Version 4 of Article A52491: in force by CMS's dates 2016-07-01 to 2017-07-24. The policy text on this page comes from this archived version.

DME MAC jurisdictions

JA · Noridian 16013

CT, DE, DC, ME, MD, MA, NH, NJ, NY, PA, RI, VT

JB · CGS 17013

IL, IN, KY, MI, MN, OH, WI

JC · CGS 18003

AL, AR, CO, FL, GA, LA, MS, NM, NC, OK, PR, SC, TN, TX, VI, VA, WV

JD · Noridian 19003

AK, AS, AZ, CA, GU, HI, ID, IA, KS, MO, MT, NE, NV, ND, MP, OR, SD, UT, WA, WY

source

CMS's Who are the MACs jurisdiction pages (DME facts as of 2025-09-30) name each contractor and its states; the MCD's Contractor Information table on every DME LCD prints the contract numbers. Both read 2026-10-09. Verzi adds the state lookup only.

You are viewing version 4 (2016-07-01 to 2017-07-24). No version of Article A52491 is in force today.

State

Sections in this version: Article Text · Coding Information. Plus 1 section marked N/A in this version.

Full verbatim text serves to customers · Customer? Log in

Version history, Article A52491

ShowHide the 1 version superseded the same day it took effect

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 Versions superseded the same day they took effect never governed a claim, so the page hides them until you ask.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.

v22015-10-01 to 2016-06-30 v32016-07-01, superseded same day v42016-07-01 to 2017-07-24

Revision history, every version

CMS's own change log, quoted, 2 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.

R2 · 2017-07-24 · v4

Retiring and replacing with A54563

R1 · 2016-07-01 · v3

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 4 of Article A52491, shown on this page: in force by CMS's dates 2016-07-01 to 2017-07-24. Archived 2026-09-26. CMS's copy · Our archived file. 3 of 3 sections are proven word-identical to the archived file.

Every archived version of Article A52491 (3 versions, CMS's dates, window by the as-of rule).

Document	Version	In force	Archived on	Verify
Article A52491	version 2	2015-10-01 to 2016-06-30	2026-09-26	CMS's copy · Our archived file
Article A52491	version 3	2016-07-01, superseded same day	2026-09-26	CMS's copy · Our archived file
Article A52491	version 4 shown	2016-07-01 to 2017-07-24	2026-09-26	CMS's copy · Our archived file

Each archived file's page gives its sha256 fingerprint. A copy of the file hashes to the same value, byte for byte.

CMS's live page shows only the current version. To check a passage by eye, open CMS's copy of the same version number. A version's window ends on the earlier of CMS's stated end date and the day before the next version starts.

Every policy word on this page is CMS's, from the archived version named beside it. Verzi adds labels, highlights, citations and links only. Verzi-written summary content on this page: none.