Alert detail

LCD L35074: Heavy Metal Testing — Wellpoint Federal

Policy ID: LCD-L35074Specialty: Clinical LaboratoryAdded: 7/23/2026Effective: April 1, 2026lcd
Routine

What changed

Final LCD restricts Medicare coverage for heavy metal lab testing.

Who’s affected: Clinical Laboratory billing teams · Effective: April 1, 2026

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.