Week of Sep 14, 2026 to Sep 20, 2026: 3 proposed LCDs, 1 revised LCD, 1 retired LCD, 34 articles, 1 national item
The Medicare Coverage Database release of September 24, 2026 records these documents as updated during update period 1219, from September 14, 2026 through September 20, 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 proposed LCDs entered or changed in the database this week. A proposal is open for written comment until the date shown; the proposed LCD tracker follows each one until the contractor finalizes or retires it.
| Proposal | Title | Comment period | Contractor | States |
|---|---|---|---|---|
| DL40474 | MolDX: Genome-Wide Molecular Methodologies for the Detection of Copy Number Alterations and Structural Variants in Hematologic Neoplasms | Proposed LCD; comment period Sep 24, 2026 to Nov 7, 2026 | Wisconsin Physicians Service Insurance Corporation | 48 states and territories |
| DL40472 | MolDX: Next-Generation Sequencing for Hematologic Malignancies and Suspected Hematologic Malignancies | Proposed LCD; comment period Sep 24, 2026 to Nov 7, 2026 | Wisconsin Physicians Service Insurance Corporation | 48 states and territories |
| DL40470 | MolDX: Transcriptional Biomarkers for Therapeutic Decision-Making in Renal Carcinoma | Proposed LCD; comment period Sep 24, 2026 to Nov 7, 2026 | Wisconsin Physicians Service Insurance Corporation | 48 states and territories |
2 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 |
|---|---|---|---|---|
| L38441 | MolDX: Blood Product Molecular Antigen Typing | Revised, effective Sep 24, 2026 (future) | Wisconsin Physicians Service Insurance Corporation | 48 states and territories |
| L38582 | MolDX: Molecular Testing for Solid Organ Allograft Rejection | Retired Sep 17, 2026 | CGS Administrators, LLC | KY OH |
34 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 |
|---|---|---|---|---|
| A59434 | Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A57552 | Billing and Coding: Coronary Computed Tomography Angiography (CCTA) | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A57476 | Billing and Coding: Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring) | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A57826 | Billing and Coding: Facet Joint Interventions for Pain Management | Billing and Coding | Revised, effective Sep 17, 2026 | Wellpoint Federal |
| A57944 | Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A56391 | Billing and Coding: Implantable Automatic Defibrillators | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A53531 | Billing and Coding: MolDX: BCR-ABL | Billing and Coding | Revised, effective Sep 24, 2026 (future) | Palmetto GBA |
| A54686 | Billing and Coding: MolDX: BCR-ABL | Billing and Coding | Revised, effective Sep 24, 2026 (future) | CGS Administrators, LLC |
| A55595 | Billing and Coding: MolDX: BCR-ABL | Billing and Coding | Revised, effective Sep 24, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A60205 | Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A60215 | Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis | Billing and Coding | Revised, effective Oct 1, 2026 (future) | CGS Administrators, LLC |
| A60217 | Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A60306 | Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A56943 | Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A57037 | Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Noridian Healthcare Solutions, LLC |
19 more articles updated this week
| Article | Title | Type | Change | Contractor |
|---|---|---|---|---|
| A57559 | Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A59847 | Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A59868 | Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A59908 | Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A59849 | Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A59872 | Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A59906 | Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A57831 | Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors | Billing and Coding | Revised, effective Sep 24, 2026 (future) | Palmetto GBA |
| A57858 | Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors | Billing and Coding | Revised, effective Sep 24, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A57870 | Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors | Billing and Coding | Revised, effective Sep 24, 2026 (future) | CGS Administrators, LLC |
| A57901 | Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors | Billing and Coding | Revised, effective Sep 24, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A57837 | Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A57873 | Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies | Billing and Coding | Revised, effective Sep 24, 2026 (future) | CGS Administrators, LLC |
| A57878 | Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A57891 | Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A57478 | Billing and Coding: Nerve Conduction Studies and Electromyography | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A59723 | Billing and Coding: Outpatient Psychotherapy | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Palmetto GBA |
| A55909 | Billing and Coding: Wound Care | Billing and Coding | Revised, effective Oct 1, 2026 (future) | Wisconsin Physicians Service Insurance Corporation |
| A58061 | Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection | Billing and Coding | Retired Sep 17, 2026 | CGS Administrators, LLC |
National coverage items this week
- NCA CAG-00430R3 Transcatheter Aortic Valve Replacement (TAVR) for Aortic Regurgitation (AR) (open): September 10, 2026 - Posted new tracking sheet. (Sep 14, 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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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.