Traditional MedicareCoverageMedium impact
Bowel Management Devices
Medicare/CMS - LCD·Gastroenterology, Urology, General Surgery +2 more·Local Coverage Determination
Effective date
Apr 1, 2026
We identified it
Jun 17, 2026
Summary
A new Local Coverage Determination (LCD) for Bowel Management Devices has been established by CGS Administrators and Noridian Healthcare Solutions (DME MACs), effective April 1, 2026. This policy will establish coverage criteria and documentation requirements for durable medical equipment related to bowel management devices covered under Medicare.
Action Required
By April 1, 2026: DME billing team must review the full LCD L36267 policy text to understand specific coverage criteria and documentation requirements for bowel management devices. Update prior authorization and documentation workflows according to the new LCD requirements. Ensure all bowel management device claims meet the established coverage criteria to avoid denials.