Code intelligence

L97.909 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code L97.909.

Normal code riskView ICD-10 detail

Signal breakdown

4 shown · 4 total in platform

Risk: Normal
0

Critical

0%

0

High

0%

2

Routine

50%

2

Low

50%

New this month

+2

alerts added in last 30 days

Effective soon

no upcoming deadlines

LCD L38902: Wound and Ulcer Care — Noridian

Policy LCD-L38902 · Pain Management

Routine

New LCD for Wound and Ulcer Care effective Sep 11, 2025.

LCD L38904: Wound and Ulcer Care — Noridian

Policy LCD-L38904 · Dermatology

Routine

New LCD on wound care impacts billing practices significantly.

LCD L33821: Negative Pressure Wound Therapy Pumps — DME MAC

Policy LCD-L33821 · DME

Low

NPWT pump coverage rules under all 4 DME MACs, effective Jan 2024.

LCD L33831: Surgical Dressings — DME MAC

Policy LCD-L33831 · DME

Low

DME MAC surgical dressings coverage criteria updated Jan 2024.

Audit documentation

Building an audit file that includes L97.909?

The Tripwire Audit Pack exports 12 months of Pain Management policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

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