Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective September 11, 2025

Date Posted: September 11, 2025

The following Local Coverage Determinations (LCDs) and associated Billing and Coding Articles have been revised under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Medicare Coverage Database Number LCD Title and Revision Number
L34203 Cataract Surgery in Adults - R5
L39758 Cervical Fusion - R2
L38824 Colon Capsule Endoscopy (CCE) - R2
L38709 Computed Tomography Cerebral Perfusion Analysis (CTP) - R1
L39240 Epidural Steroid Injections for Pain Management - R2
L34218 Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma - R6
L39960 Intervertebral Disc Repair - R1
L37616 Lab: Cystatin C Measurement - R6
L37729 Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor and Tremor Dominant Parkinson's Disease - R6
L39058 Platelet Rich Plasma Injections for Non-Wound Injections - R5
L36861 Polysomnography and Other Sleep Studies - R6
L38902 Wound and Ulcer Care - R2
Medicare Coverage Database Number Billing and Coding Article Title and Revision Number
A57195 Billing and Coding: Cataract Surgery in Adults - R8
A59624 Billing and Coding: Cervical Fusion - R4
A58436 Billing and Coding: Colon Capsule Endoscopy (CCE) - R4
A58223 Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) - R4
A58993 Billing and Coding: Epidural Steroid Injections for Pain Management - R6
A57079 Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma - R2
A59882 Billing and Coding: Intervertebral Disc Repair - R1
A57643 Billing and Coding: Lab: Cystatin C Measurement - R6
A57512 Billing and Coding: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor and Tremor Dominant Parkinson's Disease - R5
A58788 Billing and Coding: Platelet Rich Plasma Injections for Non-Wound Injections - R3
A57697 Billing and Coding: Polysomnography and Other Sleep Studies - R4
A58565 Billing and Coding: Wound and Ulcer Care - R9

Effective Date: September 11, 2025

Summary of Changes:

CONTRACTOR INFORMATION:

Added: JF contractor information

This update is to consolidate JE and JF to have one unified document and policy number.

Visit the Noridian Active LCDs webpage or Noridian Billing and Coding Articles webpages to view the document or access it via the CMS Medicare Coverage Database (MCD).

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