Alert detail

LCD L34428: Outpatient Physical Therapy — Palmetto GBA

Policy ID: LCD-L34428Specialty: OutpatientAdded: 9/12/2026Effective: May 18, 2023lcd
Routine

What changed

Palmetto GBA Final LCD: Outpatient PT coverage rules for SE states.

Who’s affected: Outpatient billing teams · Effective: May 18, 2023

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.