Alert detail

LCD L36007: Lower Extremity Major Joint Replacement (Hip and Knee) — Novitas

Policy ID: LCD-L36007Specialty: OrthopedicsAdded: 9/12/2026Effective: November 14, 2019lcd
Low

What changed

Novitas LCD: Hip & knee replacement coverage criteria for 10 states.

Who’s affected: Orthopedics billing teams · Effective: November 14, 2019

Affected codes

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

This change affects 10 billing codes.

The full analysis, the revision comparison and the as-of-date version of this policy are what a partner packet carries. The source document above is free and always will be.