Local Coverage DeterminationDME

LCD L33312: Wheelchair Seating — CGS

LCD-L33312

Document details

Document type: Local Coverage Determination
Issuing body: MAC Contractor
Document ID: LCD-L33312
Published: June 5, 2026
Effective date: October 1, 2025
MAC region: CGS Administrators

Summary

The updated Local Coverage Determination (LCD) for wheelchair seating may significantly affect reimbursement for related services, potentially leading to increased scrutiny on claims. Providers should

New LCD for wheelchair seating impacts billing starting 10/01/2025.

Affected codes

ICD-10-CM

L33312

Affected specialty

DME alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33312&ver=40

CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.

Related alerts

Federal Register Proposed Rule: Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies

Policy FR-2026-13602 · Multi-specialty

High

CMS proposes CY 2027 Home Health PPS rate updates including recalibrated case-mix weights, updated functional impairment levels, comorbidity subgroups, and LUPA thresholds. The rule also proposes a te

View alert

CMS Transmittal R13846CP: July Quarterly Update for 2026 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

Policy CMS-T-R13846CP · DME

Critical

This transmittal implements the July 2026 quarterly update for DMEPOS billing, effective July 6, 2026. Billing teams should review updated fee schedules, coverage criteria, and any new or revised HCPC

View alert

CMS Transmittal R13842CP: Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS…

Policy CMS-T-R13842CP · Multi-specialty

Critical

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS…

View alert

CMS Transmittal R13805CP: July Quarterly Update for 2026 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

Policy CMS-T-R13805CP · DME

Critical

This transmittal outlines updates to the Durable Medical Equipment (DME) billing policies effective July 6, 2026. Billing teams should review the changes to DME codes to ensure accurate processing of

View alert