Date Posted: August 27, 2026

This Local Coverage Determination (LCD) has been retired under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV).

Medicare Coverage Database (MCD) Numbers: L34313 and A57181

Effective Date: September 26, 2026

Rationale: This LCD and associated Billing and Coding article are being retired as it is being replaced by the Allergy Diagnostic Testing LCD (L40324) which becomes effective September 27, 2026.

Visit the Retired LCDs webpage to access the retired LCDs.