Local Coverage Determination · DME MAC
L33803
Urological Supplies
Version 61. CMS effective date 04/01/2026. CMS updated 04/02/2026. 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. None
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. The statutory coverage criteria for coverage of urological supplies are specified in the related Policy Article. The medical necessity for use of a greater quantity of supplies than the amounts specified in the policy must be well documented in the beneficiary's medical record and must be available upon request. INDWELLING CATHETERS (A4311, A4312, A4313, A4314, A4315, A4316, A4338, A4340, A4344, and A4346) No more than one catheter per month is covered for routine catheter maintenance. Non-routine catheter changes are covered when documentation substantiates medical necessity, such as for the following indications: Catheter is accidentally removed (e.g.
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
- A52521 · Urological Supplies - Policy Article
- A55426 · Standard Documentation Requirements for All Claims Submitted to DME MACs
- A60353 · Response to Comments: Urological Supplies - DL33803
HCPCS codes on this LCD
51 other Level II codes are on the LCD and are not given a page in this set: A4295, A4296, A4297, A4310, A4311, A4312, A4313, A4314, A4315, A4316, A4318, A4320, A4321, A4322, A4326, A4327, A4328, A4332, A4333, A4334, A4335, A4336, A4338, A4340, A4341, A4342, A4344, A4346, A4349, A4351, A4352, A4353, A4354, A4355, A4356, A4357, A4358, A4360, A4402, A4455….
Questions
What does LCD L33803 cover?
L33803 is Urological Supplies. It is a current final DME MAC local coverage determination, version 61.
Where is the CMS source for L33803?
The Medicare Coverage Database page for LCD L33803 version 61.
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=A4217&as_of=2024-01-15&npi=1234567890&state=UT"