Week of Sep 28, 2026 to Oct 4, 2026: 13 revised LCDs, 2 retired LCDs, 16 articles
The Medicare Coverage Database release of October 8, 2026 records these documents as updated during update period 1221, from September 28, 2026 through October 4, 2026. This week was captured from that release itself.
15 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 |
|---|---|---|---|---|
| L40324 | Allergy Diagnostic Testing | Revised, effective Oct 8, 2026 (future) | Noridian Healthcare Solutions, LLC | 16 states and territories |
| L33947 | Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L34032 | Debridement Services | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L33794 | External Infusion Pumps | Revised, effective Oct 1, 2026 | CGS Administrators, LLC; Noridian Healthcare Solutions, LLC | 56 states and territories |
| L38662 | Implantable Continuous Glucose Monitors (I-CGM) | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L34218 | Injections - Tendon, Ligament, and Ganglion Cyst | Revised, effective Nov 1, 2026 (future) | Noridian Healthcare Solutions, LLC | 16 states and territories |
| L36658 | Proton Beam Therapy | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L34541 | Transtelephonic Spirometry | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L34338 | Transthoracic Echocardiography (TTE) | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L33912 | Trigger Point Injections | Revised, effective Sep 6, 2026 | First Coast Service Options, Inc. | FL PR VI |
| L34056 | Urodynamics | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L34082 | Varicose Veins of the Lower Extremity, Treatment of | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L34394 | Visual Fields Testing | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC | KY OH |
| L38495 | Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor | Retired Oct 1, 2026 | Novitas Solutions, Inc. | 12 states and territories |
| L38506 | Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor | Retired Oct 1, 2026 | First Coast Service Options, Inc. | FL PR VI |
16 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 |
|---|---|---|---|---|
| A56451 | Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A56459 | Billing and Coding: Debridement Services | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A52399 | Billing and Coding: Denosumab (Prolia®, Xgeva®, Jubbonti®) and biosimilars | Billing and Coding | Revised, effective Oct 1, 2026 | Wellpoint Federal |
| A58127 | Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A57079 | Billing and Coding: Injections - Tendon, Ligament, and Ganglion Cyst | Billing and Coding | Revised, effective Nov 1, 2026 (future) | Noridian Healthcare Solutions, LLC |
| A56852 | Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity | Billing and Coding | Revised, effective Oct 1, 2026 | Palmetto GBA |
| A55315 | Billing and Coding: Proton Beam Therapy | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A56808 | Billing and Coding: Transtelephonic Spirometry | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A56802 | Billing and Coding: Urodynamics | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A57305 | Billing and Coding: Varicose Veins of the Lower Extremity, Treatment of | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A56799 | Billing and Coding: Visual Fields Testing | Billing and Coding | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A52837 | Blepharoplasty - Medical Policy Article | Article | Revised, effective Apr 1, 2026 | Wellpoint Federal |
| A52507 | External Infusion Pumps - Policy Article | Article | Revised, effective Oct 1, 2026 | CGS Administrators, LLC; Noridian Healthcare Solutions, LLC |
| A52527 | Self-Administered Drug Exclusion List: and Biologicals Excluded from Coverage - Medical Policy Article | SAD Exclusion Article | Revised, effective Oct 8, 2026 (future) | CGS Administrators, LLC |
| A57839 | Billing and Coding: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor | Billing and Coding | Retired Oct 1, 2026 | Novitas Solutions, Inc. |
1 more article updated this week
| Article | Title | Type | Change | Contractor |
|---|---|---|---|---|
| A57884 | Billing and Coding: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor | Billing and Coding | Retired Oct 1, 2026 | First Coast Service Options, Inc. |
National coverage items this week
The Coverage API what's-new report available to this build was pulled on September 27, 2026, before this week ended, so it cannot list the week's NCD and national coverage analysis changes; the next weekly refresh adds them.
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…
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.
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