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Every policy word on this page is CMS's own. Verzi adds pins, receipts, and links only.

A9999

Automatic External Defibrillators

LCD L33690 · CMS's HCPCS descriptor for A9999: Miscellaneous dme supply or accessory, not otherwise specified.

CMS lists A9999 in 3 LCDs in the Verzi KB: LCD L33690 LCD L33784 LCD L33822

Not on CMS's Required Prior Authorization List for DMEPOS on 2026-10-13. source

LCD L33690 · 8 versions, 2015 to today · last changed 2020-01-01 (R7)

Version 14 of LCD L33690: in force by CMS's dates 2019-01-01 to 2019-12-31. 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 14 (2019-01-01 to 2019-12-31). Version 20 is in force today.

Codes CMS lists in this LCD's current version (version 20, 6 codes). CMS's download carries no list for version 14: A9999 E0617 K0606 K0607 K0608 K0609

Sections in this version: CMS National Coverage Policy · Coverage Indications, Limitations, and/or Medical Necessity · Coding Information · Associated Information. Plus 4 sections marked N/A in this version.

Full verbatim text serves to customers · Customer? Log in

Version history, LCD L33690

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 Versions superseded the same day they took effect never governed a claim, so the page hides them until you ask.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, 7 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.

R7 · 2020-01-01 · v20
Revision Effective Date: 01/01/2020
CODING INFORMATION:
Removed: Field titled “Bill Type”
Removed: Field titled “Revenue Codes”
Removed: Field titled “ICD-10 Codes that Support Medical Necessity”
Removed: Field titled “ICD-10 Codes that DO NOT Support Medical Necessity”
Removed: Field titled “Additional ICD-10 Information”


As required by CR 10901, the ICD-10 information has been moved to all Policy Articles. There is no change in coverage.
R6 · 2020-01-01 · v18
Revision Effective Date: 01/01/2020
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: “ordering physician” to “treating practitioner”
Removed: Statement to refer to ICD-10 Codes that are Covered section in the LCD-related PA
Added: Statement to refer to ICD-10 code section in the LCD-related Policy Article
Revised: Order information as a result of Final Rule 1713
GENERAL DOCUMENTATION REQUIREMENTS:
Revised: Prescriptions (orders) to SWO
APPENDICES:
Removed: Statement to refer to ICD-10 Codes that are Covered section in the LCD-related PA
Added: Statement to refer to ICD-10 code section in the LCD-related Policy Article


02/06/2020: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because they are due to non-discretionary coverage updates reflective of CMS FR-1713.
R5 · 2019-01-01 · v14
Revision Effective Date: 01/01/2019
COVERAGE INDICATIONS, LIMITATIONS, AND/OR MEDICAL NECESSITY:
Removed: Statement to refer to diagnosis code section below
Added: Refer to Covered ICD-10 Codes in the LCD-related Policy Article
 ICD-10 CODES THAT SUPPORT MEDICAL NECESSITY:
Moved: All diagnosis codes to the LCD-related Policy Article diagnosis code section per CMS instruction
ICD-10 CODES THAT DO NOT SUPPORT MEDICAL NECESSITY:
Moved: Statement about noncovered diagnosis codes moved to LCD-related Policy Article noncovered diagnosis code section per CMS instruction
APPENDICES:
Revised: Reference to the applicable diagnosis code section
R4 · 2017-01-01 · v9
Revision Effective Date: 01/01/2017
COVERAGE INDICATIONS, INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Removed: Standard Documentation Language
Added: New reference language and directions to Standard Documentation Requirements
Added: General Requirements
DOCUMENTATION REQUIREMENTS:
Removed: Standard Documentation Language
Added: General Documentation Requirements
Added: New reference language and directions to Standard Documentation Requirements
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Removed: Standard Documentation Language
Added: Direction to Standard Documentation Requirements
Removed: Supplier Manual reference from Miscellaneous
Removed: PIM reference from Appendices
RELATED LOCAL COVERAGE DOCUMENTS:
Added: LCD-related Standard Documentation Requirements article
R3 · 2016-07-01 · v7
Revision Effective Date 07/01/2016
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Standard Documentation language - ACA order requirements – Effective 04/28/16
DOCUMENTATION REQUIREMENTS:
Revised: Standard documentation language for orders, ACA requirements, and Proof of delivery instructions; added New order requirements, and Correct coding instructions – Effective 04/28/16
R2 · 2016-07-01 · v5
Effective July 1, 2016 oversight for DME MAC LCDs 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 LCDs.
R1 · 2015-10-01 · v3
Revision Effective Date: 10/31/2014
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Standard Documentation Language to add covered prior to a beneficiary’s Medicare eligibility
DOCUMENTATION REQUIREMENTS:
Revised: Standard Documentation Language to add who can enter date of delivery date on the POD
Added: Instructions for Equipment Retained from a Prior Payer
Revised: Repair to beneficiary-owned DMEPOS
Receipts for auditors

Version 14 of LCD L33690, shown on this page: in force by CMS's dates 2019-01-01 to 2019-12-31. Archived 2026-09-26. CMS's copy · Our archived file. 8 of 8 sections are proven word-identical to the archived file.

Every archived version of LCD L33690 (8 versions, CMS's dates, window by the as-of rule). The Article rows are the Article versions in force on the start dates of these LCD versions.

DocumentVersionIn forceArchived onVerify
LCD L33690version 22015-10-01, superseded same day2026-09-26CMS's copy · Our archived file
LCD L33690version 32015-10-01 to 2016-06-302026-09-26CMS's copy · Our archived file
LCD L33690version 52016-07-01, superseded same day2026-09-26CMS's copy · Our archived file
LCD L33690version 72016-07-01 to 2016-12-312026-09-26CMS's copy · Our archived file
LCD L33690version 92017-01-01 to 2018-12-312026-09-26CMS's copy · Our archived file
LCD L33690version 14 shown2019-01-01 to 2019-12-312026-09-26CMS's copy · Our archived file
LCD L33690version 182020-01-01, superseded same day2026-10-09CMS's copy · Our archived file
LCD L33690version 202020-01-01 to today2026-09-26CMS's copy · Our archived file
Article A52458version 32015-10-01 to 2016-06-302026-09-26CMS's copy · Our archived file
Article A52458version 62016-07-01 to 2016-12-312026-09-26CMS's copy · Our archived file
Article A52458version 92017-01-01 to 2018-12-312026-09-26CMS's copy · Our archived file
Article A52458version 132019-01-01 to 2019-12-312026-09-26CMS's copy · Our archived file
Article A52458version 282020-01-01 to 2022-09-302026-09-26CMS's copy · Our archived file
Article A55426version 122017-01-01 to 2017-04-192026-09-26CMS's copy · Our archived file
Article A55426version 622019-01-01 to 2019-12-312026-09-26CMS's copy · Our archived file
Article A55426version 722020-01-01 to 2020-04-052026-09-26CMS'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.

Governing policies, as CMS lists them:

  • LCD L33690 · Automatic External Defibrillators
    CMS lists A9999 in group 1 of version 20. CMS's description, quoted: “MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED”.
    Related Articles, as CMS lists them: Article A55426 · Article A52458
  • LCD L33784 · Heating Pads and Heat Lamps
    CMS lists A9999 in group 1 of version 21. CMS's description, quoted: “MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED”.
    Related Articles, as CMS lists them: Article A55426 · Article A52502
  • LCD L33822 · Glucose Monitors
    CMS lists A9999 in group 2 of version 70. CMS's description, quoted: “MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED”.
    Related Articles, as CMS lists them: Article A59330 · Article A52464 · Article A55426

From CMS's LCD code table. HCPCS Level II codes only.

source

CMS's LCD code table in the Medicare Coverage Database download, archived 2026-10-09: Our archived file.

Watch A9999

One email when any policy cited for A9999 changes or gains a future effective date. Nothing else, ever.