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Mechanical In-exsufflation Devices - Policy Article
Article A52510 · 40 versions, 2015 to today · last changed 2025-10-01 (R20)
Version 54 of Article A52510: in force by CMS's dates 2023-10-01 to 2023-09-30. The policy text on this page comes from this archived version.
JA · Noridian 16013
JB · CGS 17013
JC · CGS 18003
JD · Noridian 19003
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.
Sections in this version: Article Text · Coding Information. Plus 1 section marked N/A in this version.
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Version history, Article A52510
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 Versions superseded the same day they took effect never governed a claim, so the page hides them until you ask.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, 38 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.
R20 · 2025-10-01 · v61
Revision Effective Date: 10/01/2025 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Removed: ICD-10-CM code G35 from Group 1 Codes, due to ICD-10-CM code updates Added: ICD-10-CM codes G35.A, G35.B0, G35.B1, G35.B2, G35.C0, G35.C1, G35.C2, G35.D, G71.036 to Group 1 Codes, due to ICD-10-CM code updates 09/18/2025: 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.
R19 · 2025-01-23 · v58
Revision Effective Date: 01/23/2025 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM codes G70.00, G72.49 and G72.9 to Group 1 Codes 01/23/2025: 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.
R18 · 2024-08-08 · v56
Revision Effective Date: 08/08/2024 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM codes G71.12, G71.13, G71.14, G71.19, G71.3, G71.8, G72.0, G72.1, G72.2, G72.89, G73.7, J98.6, M33.02, M33.12, M33.22, M33.92, M34.82, M35.03 to Group 1 Codes 08/08/2024: 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.
R18 · 2024-08-08 · v56
Revision Effective Date: 08/08/2024 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM codes G71.12, G71.13, G71.14, G71.19, G71.3, G71.8, G72.0, G72.1, G72.2, G72.89, G73.7, J98.6, M33.02, M33.12, M33.22, M33.92, M34.82, M35.03 to Group 1 Codes 08/08/2024: 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.
R17 · 2023-10-01 · v54
Revision Effective Date: 10/01/2023 CODING GUIDELINES: Removed: Coding and billing information pertaining to multifunction ventilators coded E0467 CODING VERIFICATION REVIEW: Removed: Section header and PDAC coding verification review (CVR) information, including CVR information pertaining to products coded E0467 05/16/2024: 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.
R17 · 2023-10-01 · v54
Revision Effective Date: 10/01/2023 CODING GUIDELINES: Removed: Coding and billing information pertaining to multifunction ventilators coded E0467 CODING VERIFICATION REVIEW: Removed: Section header and PDAC coding verification review (CVR) information, including CVR information pertaining to products coded E0467 05/16/2024: 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.
R16 · 2023-10-01 · v52
Revision Effective Date: 10/01/2023 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM code E74.05 to Group 1 Codes due to ICD-10-CM code updates 09/21/2023: 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.
R16 · 2023-10-01 · v52
Revision Effective Date: 10/01/2023 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM code E74.05 to Group 1 Codes due to ICD-10-CM code updates 09/21/2023: 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.
R15 · 2023-05-25 · v49
Revision Effective Date: 05/25/2023 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM code G80.0 to Group 1 Codes 05/25/2023: 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.
R15 · 2023-05-25 · v49
Revision Effective Date: 05/25/2023 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM code G80.0 to Group 1 Codes 05/25/2023: 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.
R14 · 2022-10-01 · v47
Revision Effective Date: 10/01/2022 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM codes G71.031, G71.032, G71.033, G71.0340, G71.0341, G71.0342, G71.0349, G71.035, G71.038, G71.039 to Group 1 Codes due to ICD-10-CM code updates 09/22/2022: 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.
R14 · 2022-10-01 · v47
Revision Effective Date: 10/01/2022 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-10-CM codes G71.031, G71.032, G71.033, G71.0340, G71.0341, G71.0342, G71.0349, G71.035, G71.038, G71.039 to Group 1 Codes due to ICD-10-CM code updates 09/22/2022: 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.
R13 · 2021-10-01 · v44
Revision Effective Date: 10/01/2021 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO FINAL RULE 1713 (84 FED. REG VOL 217): 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.
R13 · 2021-10-01 · v44
Revision Effective Date: 10/01/2021 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO FINAL RULE 1713 (84 FED. REG VOL 217): 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.
R12 · 2021-10-01 · v41
Revision Effective Date: 10/01/2021 CODING GUIDELINES: Revised: Coding instructions for multifunction ventilators (E0467) (Effective 01/01/2019) CODING VERIFICATION REVIEW: Added: Section header and PDAC coding verification review (CVR) information Added: CVR requirement for products coded E0467 11/11/2021: 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.
R12 · 2021-10-01 · v41
Revision Effective Date: 10/01/2021 CODING GUIDELINES: Revised: Coding instructions for multifunction ventilators (E0467) (Effective 01/01/2019) CODING VERIFICATION REVIEW: Added: Section header and PDAC coding verification review (CVR) information Added: CVR requirement for products coded E0467 11/11/2021: 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.
R11 · 2021-10-01 · v35
Revision Effective Date: 10/01/2021 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Revised: ICD-10-CM code description for G71.20 due to annual ICD-10-CM Code updates 10/07/2021: 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.
R11 · 2021-10-01 · v35
Revision Effective Date: 10/01/2021 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Revised: ICD-10-CM code description for G71.20 due to annual ICD-10-CM Code updates 10/07/2021: 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.
R10 · 2020-10-01 · v31
Revision Effective Date: 10/01/2020 POLICY SPECIFIC DOCUMENTATION REQUIREMENTS: Added: Reimbursement statement for replacement of A7020 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY: Added: A7020 to Group 1 Paragraph 03/18/2021: 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.
R10 · 2020-10-01 · v31
Revision Effective Date: 10/01/2020 POLICY SPECIFIC DOCUMENTATION REQUIREMENTS: Added: Reimbursement statement for replacement of A7020 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY: Added: A7020 to Group 1 Paragraph 03/18/2021: 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.
R9 · 2020-10-01 · v29
Revision Effective Date: 10/01/2020 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY: Removed: ICD-10 code G71.2 from Group 1, due to annual ICD-10 Code updates Added: ICD-10 codes G71.20, G71.21, G71.220, G71.228, G71.29 to Group 1 codes, due to annual ICD-10 Code updates 09/24/2020: 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.
R9 · 2020-10-01 · v29
Revision Effective Date: 10/01/2020 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY: Removed: ICD-10 code G71.2 from Group 1, due to annual ICD-10 Code updates Added: ICD-10 codes G71.20, G71.21, G71.220, G71.228, G71.29 to Group 1 codes, due to annual ICD-10 Code updates 09/24/2020: 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.
R8 · 2020-04-03 · v25
Revision Effective Date: 04/03/2020 CODING GUIDELINES: Revised: Guidance for billing HCPCS code E0467 based on DOS 07/16/2020: 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.
R8 · 2020-04-03 · v25
Revision Effective Date: 04/03/2020 CODING GUIDELINES: Revised: Guidance for billing HCPCS code E0467 based on DOS 07/16/2020: 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.
R7 · 2020-01-01 · v21
Revision Effective Date: 01/01/2020 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO 42 CFR 410.38(g): Removed: Due to Final Rule 1713 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO FINAL RULE 1713 (84 Fed. Reg Vol 217): Added: Section 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.
R7 · 2020-01-01 · v21
Revision Effective Date: 01/01/2020 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO 42 CFR 410.38(g): Removed: Due to Final Rule 1713 REQUIREMENTS FOR SPECIFIC DMEPOS ITEMS PURSUANT TO FINAL RULE 1713 (84 Fed. Reg Vol 217): Added: Section 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.
R6 · 2019-01-01 · v16
Revision Effective Date: 01/01/2019 CODING GUIDELINES: Revised: E0467 Coding Guidelines to include custom fabricated oral appliances 04/04/2019: 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.
R6 · 2019-01-01 · v16
Revision Effective Date: 01/01/2019 CODING GUIDELINES: Revised: E0467 Coding Guidelines to include custom fabricated oral appliances 04/04/2019: 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.
R5 · 2019-01-01 · v14
Revision Effective Date: 01/01/2019 CODING GUIDELINES: Added: E0467 Coding Guidelines ICD-10 CODES THAT ARE COVERED: Added: All diagnosis codes formerly listed in the LCD Added: ICD-10 codes E74.02 and G70.01 ICD-10 CODES THAT ARE NOT COVERED: Added: Notation excluding all unlisted diagnosis codes from coverage 02/21/2019: 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.
R5 · 2019-01-01 · v14
Revision Effective Date: 01/01/2019 CODING GUIDELINES: Added: E0467 Coding Guidelines ICD-10 CODES THAT ARE COVERED: Added: All diagnosis codes formerly listed in the LCD Added: ICD-10 codes E74.02 and G70.01 ICD-10 CODES THAT ARE NOT COVERED: Added: Notation excluding all unlisted diagnosis codes from coverage 02/21/2019: 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.
R4 · 2017-01-01 · v11
Revision Effective Date: 01/01/2017 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES Added: 42 CFR 410.38(g) language, previously in Policy Specific Documentation Requirement section 04/05/2018: At this time 21st Century Cures Act applies to new and revised LCDs that restrict coverage, which require comment and notice. This revision is to an article that is not a local coverage determination
R4 · 2017-01-01 · v11
Revision Effective Date: 01/01/2017 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES Added: 42 CFR 410.38(g) language, previously in Policy Specific Documentation Requirement section 04/05/2018: At this time 21st Century Cures Act applies to new and revised LCDs that restrict coverage, which require comment and notice. This revision is to an article that is not a local coverage determination
R3 · 2017-01-01 · v8
Revision Effective Date: 01/01/2017 POLICY SPECIFIC DOCUMENTATION REQUIREMENTS: Added: 42 CFR 410.38(g) requirements RELATED LOCAL COVERAGE DOCUMENTS: Added: LCD-related Standard Documentation Requirements Language Article
R3 · 2017-01-01 · v8
Revision Effective Date: 01/01/2017 POLICY SPECIFIC DOCUMENTATION REQUIREMENTS: Added: 42 CFR 410.38(g) requirements RELATED LOCAL COVERAGE DOCUMENTS: Added: LCD-related Standard Documentation Requirements Language Article
R2 · 2016-07-01 · v6
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.
R2 · 2016-07-01 · v6
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.
R1 · 2015-10-01 · v3
Revision Effective Date: 10/01/2015 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES: Removed: “When required by state law” from ACA new prescription requirements Revised: Face-to-Face Requirements for treating practitioner
R1 · 2015-10-01 · v3
Revision Effective Date: 10/01/2015 NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES: Removed: “When required by state law” from ACA new prescription requirements Revised: Face-to-Face Requirements for treating practitioner
Receipts for auditors
Version 54 of Article A52510, shown on this page: in force by CMS's dates 2023-10-01 to 2023-09-30. 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 A52510 (40 versions, CMS's dates, window by the as-of rule).
| Document | Version | In force | Archived on | Verify |
|---|---|---|---|---|
| Article A52510 | version 2 | 2015-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 2 | 2015-10-01, superseded same day | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 3 | 2015-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 3 | 2015-10-01 to 2016-06-30 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 6 | 2016-07-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 6 | 2016-07-01 to 2016-12-31 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 8 | 2017-01-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 8 | 2017-01-01, superseded same day | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 11 | 2017-01-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 11 | 2017-01-01 to 2018-12-31 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 14 | 2019-01-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 14 | 2019-01-01, superseded same day | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 16 | 2019-01-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 16 | 2019-01-01 to 2019-12-31 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 21 | 2020-01-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 21 | 2020-01-01 to 2020-04-02 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 25 | 2020-04-03, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 25 | 2020-04-03 to 2020-09-30 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 29 | 2020-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 29 | 2020-10-01, superseded same day | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 31 | 2020-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 31 | 2020-10-01 to 2021-09-30 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 35 | 2021-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 35 | 2021-10-01, superseded same day | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 41 | 2021-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 41 | 2021-10-01, superseded same day | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 44 | 2021-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 44 | 2021-10-01 to 2022-09-30 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 47 | 2022-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 47 | 2022-10-01 to 2023-05-24 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 49 | 2023-05-25, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 49 | 2023-05-25 to 2023-09-30 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 52 | 2023-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 52 | 2023-10-01, superseded same day | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 54 shown | 2023-10-01, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 54 | 2023-10-01 to 2024-08-07 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 56 | 2024-08-08, superseded same day | 2026-09-26 | CMS's copy · Our archived file |
| Article A52510 | version 56 | 2024-08-08 to 2025-01-22 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 58 | 2025-01-23 to 2025-09-30 | 2026-10-02 | CMS's copy · Our archived file |
| Article A52510 | version 61 | 2025-10-01 to today | 2026-09-26 | CMS's copy · Our archived file |
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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.