Code intelligence

G35 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code G35.

Elevated code riskView ICD-10 detail

Signal breakdown

17 shown · 17 total in platform

Risk: Elevated
0

Critical

0%

1

High

6%

5

Routine

29%

11

Low

65%

New this month

alerts added in last 30 days

Effective soon

no upcoming deadlines

LCD L40224: Automated Detection and Quantification of Brain MRIs — CGS

Policy LCD-L40224 · Neurology

High

New LCD supports compliance with updated rates guidelines effective 01/19/2026.

LCD L33574: Visual Fields Testing — Wellpoint Federal

Policy LCD-L33574 · Ophthalmology

Routine

Wellpoint LCD sets coverage rules for Visual Fields Testing (Pt A & B).

LCD L33631: Outpatient Physical and Occupational Therapy Services — Wellpoint Federal

Policy LCD-L33631 · Outpatient

Routine

Wellpoint: Outpatient PT/OT coverage criteria active as of Apr 2026

LCD L35098: Nerve Conduction Studies and Electromyography — Wellpoint Federal

Policy LCD-L35098 · Neurology

Routine

NCS/EMG coverage rules active Apr 2026 under Wellpoint Federal.

LCD L39314: Off-Label Use of Intravenous Immune Globulin (IVIG) — NGS

Policy LCD-L39314 · Allergy/Immunology

Routine

New LCD impacts IVIG billing practices for off-label uses.

LCD L33789: Power Mobility Devices — DME MAC

Policy LCD-L33789 · DME

Routine

Final LCD for Power Mobility Devices; strict doc requirements apply.

LCD L35028: Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency — Wellpoint Federal

Policy LCD-L35028 · Neurology

Low

CCSVI venous angioplasty/stent LCD — review coverage criteria carefully.

LCD L33686: Ankle-Foot/Knee-Ankle-Foot Orthosis — DME MAC

Policy LCD-L33686 · DME

Low

AFO/KAFO coverage criteria updated across all DME MACs eff. 4/1/2026

LCD L33795: Mechanical In-exsufflation Devices — DME MAC

Policy LCD-L33795 · DME

Low

DME coverage rules for cough assist (in-exsufflation) devices.

LCD L33801: Seat Lift Mechanisms — DME MAC

Policy LCD-L33801 · DME

Low

DME MAC LCD: Coverage rules for Medicare-covered seat lift mechanisms.

LCD L33739: Speech Generating Devices (SGD) — DME MAC

Policy LCD-L33739 · DME

Low

DME MAC Final LCD governs Medicare coverage for Speech Generating Devices.

LCD L33312: Wheelchair Seating — DME MAC

Policy LCD-L33312 · DME

Low

DME MAC final LCD for wheelchair seating coverage criteria, eff. 10/1/2025.

LCD L33792: Wheelchair Options/Accessories — DME MAC

Policy LCD-L33792 · DME

Low

DME MAC LCD for wheelchair options/accessories effective 10/01/2025.

LCD L33788: Manual Wheelchair Bases — DME MAC

Policy LCD-L33788 · DME

Low

DME MAC LCD governing manual wheelchair base coverage criteria.

LCD L33791: Walkers — DME MAC

Policy LCD-L33791 · DME

Low

DME MAC LCD defining coverage criteria for Medicare-covered walkers.

LCD L33733: Canes and Crutches — DME MAC

Policy LCD-L33733 · DME

Low

DME MAC LCD: Coverage criteria for canes & crutches billing.

LCD L33799: Patient Lifts — DME MAC

Policy LCD-L33799 · DME

Low

DME MAC LCD: Coverage criteria for Medicare-covered patient lifts.

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