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Medicare Local Coverage Determinations: the full LCD list

Every active Local Coverage Determination in the Medicare Coverage Database, rebuilt from the September 24, 2026 export: 862 policies from 7 A/B contractors and the DME and home health contractors, 760 of them with a billing and coding article that lists covered ICD-10-CM codes. 169 titles are published by more than one contractor, and each of those has a comparison page that lines the versions up by state, revision date and diagnosis-list size. Start from the most searched policies, from the contractor for your state, or from the topic list.

QuickIntell editorial content · Legacy registry date · Review not verified

Data effective
Data currency: Medicare Coverage Database LCD and Article exports release of September 24, 2026 (effective September 20, 2026). Next CMS release: weekly (Thursdays) for the MCD.
Active LCDs
862
With a coded billing article
760
Titles at several contractors
169
Policies with a full page
385

Most searched LCDs

Monthly US Google searches for the policy number (Google Ads, October 2026). Glucose monitors, oxygen, power mobility and the molecular diagnostics policies lead because their edits deny high-volume claims.

LCDs with the most Google searches by L number
LCDTitleContractorRevisedCovered codesSearches / month
L33822Glucose MonitorsCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2024-10-01461110
L35041Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing WoundsNovitas Solutions, Inc.2019-09-261110
L33394Drugs and Biologicals, Coverage of, for Label and Off-Label UsesWellpoint Federal2026-07-132,95370
L33627Non-Invasive Vascular StudiesWellpoint Federal2026-04-012,11070
L33789Power Mobility DevicesCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2025-10-01—70
L33318Knee OrthosesCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2026-01-254,80650
L33686Ankle-Foot/Knee-Ankle-Foot OrthosisCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2026-04-011250
L33718Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep ApneaCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2024-01-01150
L33792Wheelchair Options/AccessoriesCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2025-10-01—50
L33797Oxygen and Oxygen EquipmentCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2023-04-01—50
L33831Surgical DressingsCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2024-01-01—50
L35936Facet Joint Interventions for Pain ManagementWellpoint Federal2026-04-092450
L38814MolDX: Minimal Residual Disease Testing for CancerNoridian Healthcare Solutions, LLC2026-02-051,19450
L33794External Infusion PumpsCGS Administrators, LLC; Noridian Healthcare Solutions, LLC2026-07-0146040
L34892Facet Joint Interventions for Pain ManagementNovitas Solutions, Inc.2024-08-112040

Titles published by several contractors

Each comparison page lists every version with its states, revision date and covered-code count. The full topic list follows the contractor table.

LCD titles with the most contractor versions
TopicVersionsStates
Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound761
Cervical Fusion761
Colon Capsule Endoscopy (CCE)761
Epidural Steroid Injections for Pain Management761
Facet Joint Interventions for Pain Management761
Frequency of Hemodialysis761
Implantable Continuous Glucose Monitors (I-CGM)761
Micro-Invasive Glaucoma Surgery (MIGS)761
Nerve Conduction Studies and Electromyography761
Trigger Point Injections (TPI)761
Botulinum Toxin Injections658
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea661
Mohs Micrographic Surgery (MMS)656
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)656
Transcranial Magnetic Stimulation (TMS)661

By contractor

CGS Administrators, LLC
204 LCDs · 37 states · AL AR CO DC DE FL GA IA IL IN …
First Coast Service Options, Inc.
79 LCDs · 3 states · FL PR VI
Noridian Healthcare Solutions, LLC
174 LCDs · 34 states · AK AS AZ CA CNMI CT DC DE GU HI …
Novitas Solutions, Inc.
71 LCDs · 12 states · AR CO DC DE LA MD MS NJ NM OK …
Palmetto GBA
190 LCDs · 18 states · AL AR FL GA IL IN KY LA MS NC …
Wellpoint Federal
89 LCDs · 28 states · AK AS AZ CA CNMI CT DN GU HI ID …
Wisconsin Physicians Service Insurance Corporation
113 LCDs · 48 states · AK AL AR AZ CA CO CT DE FL GA …

Most recently revised

A revision that added or removed diagnosis codes explains most sudden changes in denial volume; check the date of service against the revision date.

Fifteen most recently effective LCD revisions
LCDTitleContractorRevisedCovered codes
L40265Peripheral Nerve Injections and Procedures for Chronic PainNoridian Healthcare Solutions, LLC2026-11-0143
L33622Pain Management - Injection of tendon sheaths, ligaments, bursa, and ganglion cystsWellpoint Federal2026-10-25232
L40261Peripheral Nerve Injections and Procedures for Chronic PainCGS Administrators, LLC2026-10-2543
L40263Peripheral Nerve Injections and Procedures for Chronic PainPalmetto GBA2026-10-2543
L40267Peripheral Nerve Injections and Procedures for Chronic PainWellpoint Federal2026-10-2543
L40300Peripheral Nerve Injections and Procedures for Chronic PainWisconsin Physicians Service Insurance Corporation2026-10-2543
L40210MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Targeted Therapy in CancerPalmetto GBA2026-10-12680
L40222MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Targeted Therapy in CancerNoridian Healthcare Solutions, LLC2026-10-12680
L40226MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Targeted Therapy in CancerCGS Administrators, LLC2026-10-12680
L40238MolDX: Genetic Testing for Hereditary ThrombophiliaPalmetto GBA2026-10-121,171
L40242MolDX: Genetic Testing for Hereditary ThrombophiliaNoridian Healthcare Solutions, LLC2026-10-121,171
L40259MolDX: Genetic Testing for Hereditary ThrombophiliaCGS Administrators, LLC2026-10-121,171
L40274MolDX: Genetic Testing for Hereditary ThrombophiliaWisconsin Physicians Service Insurance Corporation2026-10-121,171
L40278MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Targeted Therapy in CancerWisconsin Physicians Service Insurance Corporation2026-10-12680
L34356Erythropoiesis Stimulating Agents (ESA)CGS Administrators, LLC2026-10-041,253

All multi-contractor topics (169)

All active LCDs (862)

How to use this list

A Local Coverage Determination applies only inside the jurisdiction of the contractor that wrote it, so the first filter is geography and the second is the date of service. Open the policy for the contractor that processes the claim, read its covered indications and limitations, and then open the billing and coding article for the diagnosis and procedure codes the claims system tests; the LCD pages here show the article's covered-code count with a sample and link to the full list on cms.gov. Where a title appears at several contractors, the comparison page shows how far the versions have drifted, which matters for groups that bill across state lines. The LCD lookup guide covers jurisdiction assignment and the appeal path, the NCD guide explains when a national policy overrides a local one, and the HCPCS drug code pages list the articles that mention each code.

Frequently asked questions

How many Medicare LCDs are there?

The Medicare Coverage Database export of September 24, 2026 carries 862 active Local Coverage Determinations across the A/B, DME and home health contractors, plus proposed policies not yet in force. Many are the same title written by several contractors, which is why this hub groups them into topics.

What is the difference between an LCD and its article?

The LCD states the clinical indications, limitations and documentation requirements. Since January 2019 the ICD-10-CM, CPT and HCPCS codes live in a companion Billing and Coding Article, which is what contractors load as the claims edit. Each LCD page here shows both.

Why do two LCDs with the same title have different codes?

Each contractor maintains its own policy for its jurisdiction. Policies are often copied from one contractor to another and then revised separately, so the covered diagnosis lists drift. The topic comparison pages line the versions up by state, revision date and list size.

Which LCD applies to my state?

The one written by the contractor that processes the claim: the A/B MAC for the state where the service is furnished for professional and institutional claims, or the DME MAC region for equipment. The contractor hubs list every active policy per jurisdiction.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-02. Verify against the primary file before billing or contracting decisions.

Disclaimer

Policy metadata and code counts are reproduced from the CMS Medicare Coverage Database export as an operational reference. Verify against the current LCD and article on cms.gov before billing. Not legal, clinical or billing advice.