Botulinum Toxin Injections Final LCD - Effective February 22, 2026

Date Posted: January 8, 2026

This Local Coverage Determination (LCD) has completed the Open Public Meeting and Contractor Advisory Committee (CAC) comment period and is now finalized under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY). Responses to comments received may be found as a link at the bottom of the final LCD.

Medicare Coverage Database (MCD) Number/Contractor Determination Number: L35172

LCD Title: Botulinum Toxin Injections

Effective Date: February 22, 2026

Summary of LCD: This Local Coverage Determination (LCD) has been developed to create a policy consistent with current evidence for FDA approved and off-label uses of Botulinum Toxins in the Medicare population.

Visit the Proposed LCDs webpage to access this LCD.

Last Updated Jan 08 , 2026