Multiple LCDs and Billing and Coding Articles Retirement - Effective October 23, 2025

Date Posted: October 23, 2025

The following Local Coverage Determinations (LCDs) and Billing and Coding Articles have been retired under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Medicare Coverage Database NumberLCD TitleNew Medicare Coverage Database Number
L39118Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-WoundL39116
L37062BDX-XL2L37054
L33979Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)L34233
L38659Implantable Continuous Glucose Monitor (I-CGM)L38657
L37281Lumbar MRIL34220
L37622MDS FISHL37620
L38301Micro-Invasive Glaucoma Surgery (MIGS)L38299
L39812Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)L39810
L35704Mohs Micrographic SurgeryL35702
L35175MRI and CT Scans of the Head and NeckL37373
L36526Nerve Conduction Studies and ElectromyographyL36524
L37360Peripheral Nerve StimulationL34328
L36706ProMark Risk ScoreL36704
L36859Trigger Point InjectionsL34211
Medicare Coverage Database NumberBilling and Coding Article TitleNew Medicare Coverage Database Number
A58867Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-WoundA58865
A57357Billing and Coding: BDX-XL2A57356
A57162Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)A57161
A58138Billing and Coding: Implantable Continuous Glucose Monitor (I-CGM)A58133
A57207Billing and Coding: Lumbar MRIA57206
A57662Billing and Coding: MDS FISHA57661
A57864Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS)A57863
A59697Billing and Coding: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ)A59695
A56515Billing and Coding: Mohs Micrographic SurgeryA56514
A57215Billing and Coding: MRI and CT Scans of the Head and NeckA57204
A54992Billing and Coding: Nerve Conduction Studies and ElectromyographyA54969
A55531Billing and Coding: Peripheral Nerve StimulationA55530
A57609Billing and Coding: ProMark Risk ScoreA57515
A57702Billing and Coding: Trigger Point InjectionsA57701

Effective Date: October 23, 2025

Rationale: The above-mentioned LCDs and Billing and Coding Articles were retired to consolidate JF policies with JE policies to have one unified document and policy number. Per the Centers for Medicare & Medicaid Services (CMS), this update is considered non-substantive and does not alter the intent of coverage or non-coverage outlined in any LCD.

Visit the Retired LCDs webpage to access the retired LCDs.

Last Updated Oct 23 , 2025