About this policy
Summary of Evidence
Analysis of Evidence
General Information
Associated Information
Sources of Information
Bibliography
Revision History Information
Associated Documents
Attachments
Related Local Coverage Documents
Related National Coverage Documents
Public Versions
Keywords
Local Coverage Determination (LCD)
Home Health-Surface Electrical Stimulation in the Treatment of Dysphagia
L34565
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Contractor Information
Contractor Name Contract Type Contract Number Jurisdiction States
Arkansas
Florida
Georgia
Illinois
Indiana
Kentucky
Louisiana
Mississippi
New Mexico
North Carolina
Ohio
Oklahoma
South Carolina
Tennessee
Texas
LCD Information
Document Information
LCD ID
L34565
LCD Title
Home Health-Surface Electrical Stimulation in the Treatment of Dysphagia
Proposed LCD in Comment Period
N/A
Source Proposed LCD
N/A
Original Effective Date
For services performed on or after 10/01/2015
Revision Effective Date
For services performed on or after 11/30/2023
Revision Ending Date
N/A
Retirement Date
N/A
Notice Period Start Date
N/A
Notice Period End Date
N/A
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Coverage indications
Surface electrical stimulation in the treatment of dysphagia is being used by some Medicare providers as an adjunct to “usual care”. There is insufficient scientific or clinical evidence to consider this device as reasonable and necessary for the treatment of dysphagia within the meaning of §1862(a)(1)(A) of the Social Security Act (SSA)and will not be covered by this A/B HHH Medicare Administrative Contractor (MAC).
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
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