Local Coverage Determination · DME MAC
L33801
Seat Lift Mechanisms
Version 26. CMS effective date 07/02/2023. CMS updated 05/11/2023. Read from the CMS Coverage API on 2026-10-13. Contractors on the report: CGS Administrators (DME MAC) and Noridian Healthcare Solutions (DME MAC).
CMS coverage policy citation. CMS Pub. 100-03, Chapter 1, Section 280.4
Coverage indication
In addition to the “reasonable and necessary” criteria contained in this LCD there are other payment rules, which are discussed in the following documents, that must also be met prior to Medicare reimbursement: The LCD-related Standard Documentation Requirements Article, located at the bottom of this policy under the Related Local Coverage Documents section. The LCD-related Policy Article, located at the bottom of this policy under the Related Local Coverage Documents section. Refer to the Supplier Manual for additional information on documentation requirements. Refer to the DME MAC web sites for additional bulletin articles and other publications related to this LCD. For the items addressed in this LCD, the “reasonable and necessary” criteria, based on Social Security Act § 1862(a)(1)(A) provisions, are defined by the following coverage indications, limitations and/or medical necessity. A seat lift mechanism is covered if all of the following criteria are met: The beneficiary must have severe arthritis of the hip or knee or have a severe neuromuscular disease. The seat lift mechanism must be a part of the treating practitioner’s course of treatment and be prescribed to effect improvement, or arrest or retard deterioration in the beneficiary's condition. The beneficiary must be completely incapable of standing up from a regular armchair or any chair in their home. (The fact that a beneficiary has difficulty or is even incapable of getting up from a chair, particularly a low chair, is not sufficient justification for a seat lift mechanism.
Excerpt from the LCD indication. Full text on CMS.
Documentation requirements
Items covered in this LCD have additional policy-specific requirements that must be met prior to Medicare reimbursement. Refer to the LCD-related Policy article, located at the bottom of this policy under the Related Local Coverage Documents section for additional information.
Related articles
- A59403 · Response to Comments: Seat Lift Mechanisms - DL33801
- A55426 · Standard Documentation Requirements for All Claims Submitted to DME MACs
- A52518 · Seat Lift Mechanisms - Policy Article
Related NCDs
HCPCS codes on this LCD
2 other Level II codes are on the LCD and are not given a page in this set: E0627, E0629.
Questions
What does LCD L33801 cover?
L33801 is Seat Lift Mechanisms. It is a current final DME MAC local coverage determination, version 26.
Where is the CMS source for L33801?
The Medicare Coverage Database page for LCD L33801 version 26.
Get the signed answer via API
The signed answer is the receipt for this code on a date of service: the rule that was in force, with a hash you can replay. The call needs an API key. The source archive and as-of resolution are public.
curl -H "X-API-Key: $VERZI_API_KEY" \
"https://api.verzi.health/v1/rules/warrant?hcpcs=E0172&as_of=2024-01-15&npi=1234567890&state=UT"