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Coverage Knowledge Base

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

E0734

External Upper Limb Tremor Stimulator Therapy

LCD L39591 · CMS's HCPCS descriptor for E0734: External upper limb tremor stimulator of the peripheral nerves of the wrist.

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

LCD L39591 · 1 version, 2024 to today · version 11 in force from 2024-04-07

Version 11 of LCD L39591: in force by CMS's dates 2024-04-07 onward. 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.

Codes CMS lists in this LCD (version 11, 2 codes): A4542 E0734

Revision note

No revision note is extracted for version 11.

Sections in this version: Coverage Indications, Limitations, and/or Medical Necessity · Summary of Evidence · Analysis of Evidence (Rationale for Determination) · Associated Information · Bibliography. Plus 8 sections marked N/A in this version.

Full verbatim text serves to customers · Customer? Log in

Version history, LCD L39591

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. Version numbers CMS never published to its archive do not exist as documents.

v112024-04-07 to today
Receipts for auditors

Version 11 of LCD L39591, shown on this page: in force by CMS's dates 2024-04-07 onward. Archived 2026-09-26. CMS's copy · Our archived file. 13 of 13 sections are proven word-identical to the archived file.

Every archived version of LCD L39591 (1 version, 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 L39591version 11 shown2024-04-07 to today2026-09-26CMS's copy · Our archived file
Article A55426version 1322024-01-01 to today2026-09-26CMS'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 L39591 · External Upper Limb Tremor Stimulator Therapy
    CMS lists E0734 in group 1 of version 11. CMS's description, quoted: “EXTERNAL UPPER LIMB TREMOR STIMULATOR OF THE PERIPHERAL NERVES OF THE WRIST”.
    Related Articles, as CMS lists them: Article A55426 · Article A59679 · Article A59680

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 E0734

One email when any policy cited for E0734 changes or gains a future effective date. Nothing else, ever.