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

L7900

Vacuum Erection Devices (VED)

LCD L34824 · CMS's HCPCS descriptor for L7900: Male vacuum erection system.

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

LCD L34824 · 9 versions, 2015 to today · last changed 2020-01-01 (R8)

Version 11 of LCD L34824: in force by CMS's dates 2017-01-01 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 11 (2017-01-01 to 2019-12-31). Version 21 is in force today.

Codes CMS lists in this LCD's current version (version 21, 2 codes). CMS's download carries no list for version 11: L7900 L7902

Sections in this version: Coverage Indications, Limitations, and/or Medical Necessity · Coding Information · Associated Information. Plus 5 sections marked N/A in this version.

Full verbatim text serves to customers · Customer? Log in

Version history, LCD L34824

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 Versions superseded the same day they took effect never governed a claim, so the page hides them until you ask.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, 8 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.

R8 · 2020-01-01 · v21
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.
R7 · 2020-01-01 · v19
Revision Effective Date: 01/01/2020
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Order information as a result of Final Rule 1713
DOCUMENTATION REQUIREMENTS:
Revised: “physician's” to “treating practitioner's”
GENERAL DOCUMENTATION REQUIREMENTS:
Revised: Prescriptions (orders) to SWO


02/13/2020: 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
R6 · 2017-01-01 · v11
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:
Added: General Documentation Requirements
Added: New reference language and directions to Standard Documentation Requirements
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
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
R5 · 2016-07-01 · v9
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.
R4 · 2015-10-01 · v7
Revision Effective Date:  07/01/2015
COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised:  Changed coverage indications for L7900 and L7902 to non-covered based on Achieving a Better Life Experience (ABLE) Act of 2014
R3 · 2015-10-01 · v6
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
R2 · 2015-10-01 · v5
Revision Effective Date: 10/01/2014
SOURCES OF INFORMATION AND BASIS FOR DECISION:
Revised: Update link to ‘The primary care management of erectile dysfunction’, Department of Veterans Affairs publication
R1 · 2015-10-01 · v4
Revision Effective Date: 10/01/2014
Draft LCD promoted to final
Receipts for auditors

Version 11 of LCD L34824, shown on this page: in force by CMS's dates 2017-01-01 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 L34824 (9 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 L34824version 22015-10-01, superseded same day2026-09-26CMS's copy · Our archived file
LCD L34824version 42015-10-01, superseded same day2026-09-26CMS's copy · Our archived file
LCD L34824version 52015-10-01, superseded same day2026-09-26CMS's copy · Our archived file
LCD L34824version 62015-10-01, superseded same day2026-09-26CMS's copy · Our archived file
LCD L34824version 72015-10-01 to 2016-06-302026-09-26CMS's copy · Our archived file
LCD L34824version 92016-07-01 to 2016-12-312026-09-26CMS's copy · Our archived file
LCD L34824version 11 shown2017-01-01 to 2019-12-312026-09-26CMS's copy · Our archived file
LCD L34824version 192020-01-01, superseded same day2026-10-09CMS's copy · Our archived file
LCD L34824version 212020-01-01 to today2026-09-26CMS's copy · Our archived file
Article A52712version 72015-10-01 to 2016-06-302026-09-26CMS's copy · Our archived file
Article A52712version 82016-07-01 to 2016-12-312026-09-26CMS's copy · Our archived file
Article A52712version 132017-01-01 to 2019-12-312026-09-26CMS's copy · Our archived file
Article A52712version 252020-01-01 to today2026-09-26CMS's copy · Our archived file
Article A55426version 122017-01-01 to 2017-04-192026-09-26CMS's copy · Our archived file
Article A55426version 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 L34824 · Vacuum Erection Devices (VED)
    CMS lists L7900 in group 1 of version 21. CMS's description, quoted: “MALE VACUUM ERECTION SYSTEM”.
    Related Articles, as CMS lists them: Article A55426 · Article A52712

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 L7900

One email when any policy cited for L7900 changes or gains a future effective date. Nothing else, ever.