Alert detail

LCD L36039: Total Joint Arthroplasty — Wellpoint Federal

Policy ID: LCD-L36039Specialty: OrthopedicsAdded: 7/23/2026Effective: April 1, 2026lcd
Routine

What changed

Final LCD sets coverage rules for Total Joint Arthroplasty eff. 4/1/2026.

Who’s affected: Orthopedics 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.