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Response to Comments: Nebulizers - DL33370
A58035
Noridian Healthcare Solutions, LLC (J19)
Effective: April 2, 2020
Updated: December 31, 2025
Policy Summary
The DME MACs finalized the Nebulizers LCD relying on the best currently available published clinical evidence to support optimal health outcomes for Medicare beneficiaries diagnosed with COPD. Coverage decisions and reviews will follow CMS Program Integrity Manual (CMS Pub. 100-08) Chapter 13 standards, requiring use of peer-reviewed research, systematic reviews/meta-analyses, and evidence-based guidelines.
Coverage Criteria Preview
Key requirements from the full policy
"Nebulizer services are intended for Medicare beneficiaries with a diagnosis of chronic obstructive pulmonary disease (COPD) as reflected in the final policy."
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