Week of Sep 7, 2026 to Sep 13, 2026: 2 new LCDs, 1 revised LCD, 13 articles, 1 national item
The Medicare Coverage Database release of September 17, 2026 records these documents as updated during update period 1218, from September 7, 2026 through September 13, 2026. This week was reconstructed from a later release: a document a contractor revised again in a later week appears only under that later week, so the list can be shorter than the release itself was.
3 final LCD records changed: new policies, revisions with their effective dates and retirements. A revision dated after the week is already published but applies only to dates of service from its effective date.
| LCD | Title | Change | Contractor | States |
|---|---|---|---|---|
| L40326 | Allergy Diagnostic Testing | New LCD, effective Oct 4, 2026 (future); notice period from Aug 20, 2026 | CGS Administrators, LLC | KY OH |
| L40265 | Peripheral Nerve Injections and Procedures for Chronic Pain | New LCD, effective Nov 1, 2026 (future); notice period from Sep 17, 2026 | Noridian Healthcare Solutions, LLC | 16 states and territories |
| L39237 | Erythropoiesis Stimulating Agents | Revised, effective Sep 17, 2026 (future) | Palmetto GBA | AL GA NC SC TN VA WV |
13 articles changed. Billing and coding articles carry the procedure and ICD-10-CM code lists claims are edited against, so a revision here is the change most likely to move a denial; linked IDs open the article on its LCD page.
| Article | Title | Type | Change | Contractor |
|---|---|---|---|---|
| A60300 | Billing and Coding: Peripheral Nerve Injections and Procedures for Chronic Pain | Billing and Coding | New, effective n/a | Noridian Healthcare Solutions, LLC |
| A60465 | Response to Comments: Peripheral Nerve Injections and Procedures for Chronic Pain | Response to Comments | New, effective n/a | Noridian Healthcare Solutions, LLC |
| A58350 | Billing and Coding: Facet Joint Interventions for Pain Management | Billing and Coding | Revised, effective Sep 17, 2026 (future) | Palmetto GBA |
| A58364 | Billing and Coding: Facet Joint Interventions for Pain Management | Billing and Coding | Revised, effective Sep 17, 2026 (future) | CGS Administrators, LLC |
| A58403 | Billing and Coding: Facet Joint Interventions for Pain Management | Billing and Coding | Revised, effective Sep 17, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A58477 | Billing and Coding: Facet Joint Interventions for Pain Management | Billing and Coding | Revised, effective Sep 17, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A53057 | Billing and Coding: Home Health Occupational Therapy | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A58116 | Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) | Billing and Coding | Revised, effective Sep 10, 2026 | Wellpoint Federal |
| A57503 | Billing and Coding: MolDX: Testing of Multiple Genes | Billing and Coding | Revised, effective Sep 17, 2026 (future) | Palmetto GBA |
| A57910 | Billing and Coding: MolDX: Testing of Multiple Genes | Billing and Coding | Revised, effective Sep 17, 2026 (future) | CGS Administrators, LLC |
| A58120 | Billing and Coding: MolDX: Testing of Multiple Genes | Billing and Coding | Revised, effective Sep 17, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A53064 | Billing and Coding: Outpatient Occupational Therapy | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A57114 | Billing and Coding: Trigger Point Injections | Billing and Coding | Revised, effective Sep 6, 2026 | First Coast Service Options, Inc. |
National coverage items this week
- NCA CAG-00430R2 Transcatheter Aortic Valve Replacement (TAVR) (closed): Posted final decision memo. (Sep 10, 2026)
Reading an archived week
Each row is a document whose record was updated in this window. A revised LCD or article usually takes effect on the date shown, which can fall after the week; claims are judged under the version in force on their date of service, so an archived week tells you when a change was published, not when it began to apply. Proposed LCDs listed here may since have been finalised or retired; the proposed LCD tracker shows where each one stands today, and the latest weeks carry the current open national coverage analyses.
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For recurring authorization work, evaluate requirement checks, documentation preparation, submission and status tracking with staff oversight. Confirm plan-specific requirements and supported actions in a scoped QuickAuth evaluation; a coverage policy is not an authorization or payment guarantee.
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Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- Medicare Coverage Database, current LCD exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file lcd.csvSHA-256 9aee1bd7f14056b0…
- Medicare Coverage Database, current Billing and Coding Articles exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file article.csvSHA-256 5e95c4a8ac3664be…
- Medicare Coverage Database what's-new report (national) via the CMS Coverage APIVersion API snapshot 2026-09-27 · effective 2026-09-27 · file whats-new-national.jsonSHA-256 e6ed9b3c57554bf7…
Disclaimer
This archived week reproduces document titles, dates and contractors from the CMS Medicare Coverage Database as published at the time. Policies may have changed since; check the current record on cms.gov before billing. Not legal, clinical or billing advice.
Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.