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Response to Comments: External Infusion Pumps DL33794
A58288
Noridian Healthcare Solutions, LLC (J19)
Effective: July 23, 2020
Updated: December 31, 2025
Policy Summary
This response states that the External Infusion Pumps LCD decisions will be grounded in current published clinical evidence to support optimal health outcomes for Medicare beneficiaries with primary immunodeficiency diseases (PIDD). The DME MACs will apply CMS Program Integrity Manual Chapter 13 standards (peer-reviewed research, systematic reviews, consensus statements, clinical guidelines) and refer to the final LCD (DL33794) for specific coverage, exclusions, and frequency limits.
Coverage Criteria Preview
Key requirements from the full policy
"External infusion pumps are supported for use in Medicare beneficiaries with a diagnosis of primary immunodeficiency diseases (PIDD) when used as part of clinically accepted treatment, based on cur..."
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