Effective date
Medicare changes effective April 1, 2026
73 CMS and MAC policy updates take effect on this date across 3 MAC jurisdictions. Every entry links to the government document it came from.
CMS Coverage API · 72
- LCD L38571: Colon Capsule Endoscopy (CCE) — Wellpoint Federal
LCD-L38571National Government ServicesGastroenterologysource ↗
- LCD L36850: Peripheral Nerve Blocks — Wellpoint Federal
LCD-L36850National Government ServicesPain Managementsource ↗
- LCD L33563: Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures — Wellpoint Federal
LCD-L33563National Government ServicesDermatologysource ↗
- LCD L39075: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease — Wellpoint Federal
LCD-L39075National Government ServicesCardiologysource ↗
- LCD L36267: Bowel Management Devices — DME MAC
LCD-L36267DME MACDMEsource ↗
- LCD L37606: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases — Wellpoint Federal
LCD-L37606National Government ServicesOncologysource ↗
- LCD L33591: RAST Type Tests — Wellpoint Federal
LCD-L33591National Government ServicesClinical Laboratorysource ↗
- LCD L33686: Ankle-Foot/Knee-Ankle-Foot Orthosis — DME MAC
LCD-L33686DME MACDMEsource ↗
- LCD L35028: Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency — Wellpoint Federal
LCD-L35028National Government ServicesNeurologysource ↗
- LCD L36831: Visual Electrophysiology Testing — Wellpoint Federal
LCD-L36831National Government ServicesOphthalmologysource ↗
- LCD L35076: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) — Wellpoint Federal
LCD-L35076National Government ServicesRadiologysource ↗
- LCD L36039: Total Joint Arthroplasty — Wellpoint Federal
LCD-L36039National Government ServicesOrthopedicssource ↗
- LCD L33579: Transesophageal Echocardiography (TEE) — Wellpoint Federal
LCD-L33579National Government ServicesCardiologysource ↗
- LCD L39662: Trigger Point Injections (TPI) — Wellpoint Federal
LCD-L39662National Government ServicesPain Managementsource ↗
- LCD L39611: Urine Drug Testing — Wellpoint Federal
LCD-L39611National Government ServicesClinical Laboratorysource ↗
- LCD L33616: Osteopathic Manipulative Treatment — Wellpoint Federal
LCD-L33616National Government ServicesMulti-specialtysource ↗
- LCD L33622: Pain Management - Injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels — Wellpoint Federal
LCD-L33622National Government ServicesPain Managementsource ↗
- LCD L33628: Panretinal (Scatter) Laser Photocoagulation — Wellpoint Federal
LCD-L33628National Government ServicesOphthalmologysource ↗
- LCD L33623: Percutaneous Coronary Intervention — Wellpoint Federal
LCD-L33623National Government ServicesCardiologysource ↗
- LCD L39995: Pharmacogenomic Testing — Wellpoint Federal
LCD-L39995National Government ServicesClinical Laboratorysource ↗
- LCD L33626: Psychiatric Partial Hospitalization Programs — Wellpoint Federal
LCD-L33626National Government ServicesMulti-specialtysource ↗
- LCD L39726: KidneyIntelX and KidneyIntelX.dkd Testing — Wellpoint Federal
LCD-L39726National Government ServicesClinical Laboratorysource ↗
- LCD L38968: Thyroid Nodule Molecular Testing — Wellpoint Federal
LCD-L38968National Government ServicesEndocrinologysource ↗
- LCD L33580: Speech-Language Pathology — Wellpoint Federal
LCD-L33580National Government ServicesMulti-specialtysource ↗
- LCD L35098: Nerve Conduction Studies and Electromyography — Wellpoint Federal
LCD-L35098National Government ServicesNeurologysource ↗
- LCD L33619: Nonvascular Extremity Ultrasound — Wellpoint Federal
LCD-L33619National Government ServicesRadiologysource ↗
- LCD L38667: Computed Tomography Cerebral Perfusion Analysis (CTP) — Wellpoint Federal
LCD-L38667National Government ServicesRadiologysource ↗
- LCD L38014: Corneal Hysteresis — Wellpoint Federal
LCD-L38014National Government ServicesOphthalmologysource ↗
- LCD L33630: Corneal Pachymetry — Wellpoint Federal
LCD-L33630National Government ServicesOphthalmologysource ↗
- LCD L33614: Debridement Services — Wellpoint Federal
LCD-L33614National Government ServicesMulti-specialtysource ↗
- LCD L35074: Heavy Metal Testing — Wellpoint Federal
LCD-L35074National Government ServicesClinical Laboratorysource ↗
- LCD L33574: Visual Fields Testing — Wellpoint Federal
LCD-L33574National Government ServicesOphthalmologysource ↗
- LCD L37535: Vitamin D Assay Testing — Wellpoint Federal
LCD-L37535National Government ServicesClinical Laboratorysource ↗
- LCD L33636: Routine Foot Care and Debridement of Nails — Wellpoint Federal
LCD-L33636National Government ServicesOutpatientsource ↗
- LCD L39455: Sacroiliac Joint Injections and Procedures — Wellpoint Federal
LCD-L39455National Government ServicesPain Managementsource ↗
- LCD L33578: Transrectal Ultrasound — Wellpoint Federal
LCD-L33578National Government ServicesRadiologysource ↗
- LCD L34380: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) — Wellpoint Federal
LCD-L34380National Government ServicesOphthalmologysource ↗
- LCD L38937: Platelet Rich Plasma — Wellpoint Federal
LCD-L38937National Government ServicesMulti-specialtysource ↗
- LCD L33396: Posterior Tibial Nerve Stimulation for Voiding Dysfunction — Wellpoint Federal
LCD-L33396National Government ServicesOutpatientsource ↗
- LCD L35001: Reduction Mammaplasty — Wellpoint Federal
LCD-L35001National Government ServicesOutpatientsource ↗
- LCD L38387: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea — Wellpoint Federal
LCD-L38387National Government ServicesNeurologysource ↗
- LCD L33627: Non-Invasive Vascular Studies — Wellpoint Federal
LCD-L33627National Government ServicesCardiologysource ↗
- LCD L33633: Magnetic Resonance Angiography (MRA) — Wellpoint Federal
LCD-L33633National Government ServicesRadiologysource ↗
- LCD L33558: Cataract Extraction — Wellpoint Federal
LCD-L33558National Government ServicesOphthalmologysource ↗
- LCD L39863: Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA) — Wellpoint Federal
LCD-L39863National Government ServicesCardiologysource ↗
- LCD L33621: Ophthalmic Biometry for Intraocular Lens Power Calculation — Wellpoint Federal
LCD-L33621National Government ServicesOphthalmologysource ↗
- LCD L33567: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) — Wellpoint Federal
LCD-L33567National Government ServicesOphthalmologysource ↗
- LCD L36236: Autonomic Function Testing — Wellpoint Federal
LCD-L36236National Government ServicesNeurologysource ↗
- LCD L33399: EEG – Ambulatory Monitoring — Wellpoint Federal
LCD-L33399National Government ServicesNeurologysource ↗
- LCD L37475: Frequency of Hemodialysis — Wellpoint Federal
LCD-L37475National Government ServicesESRDsource ↗
- LCD L33573: B-type Natriuretic Peptide (BNP) Testing — Wellpoint Federal
LCD-L33573National Government ServicesClinical Laboratorysource ↗
- LCD L33585: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography — Wellpoint Federal
LCD-L33585National Government ServicesRadiologysource ↗
- LCD L39513: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin — Wellpoint Federal
LCD-L39513National Government ServicesOncologysource ↗
- LCD L33559: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) — Wellpoint Federal
LCD-L33559National Government ServicesCardiologysource ↗
- LCD L33577: Transthoracic Echocardiography (TTE) — Wellpoint Federal
LCD-L33577National Government ServicesCardiologysource ↗
- LCD L35075: Proton Beam Therapy — Wellpoint Federal
LCD-L35075National Government ServicesOncologysource ↗
- LCD L33560: Cardiovascular Nuclear Medicine — Wellpoint Federal
LCD-L33560National Government ServicesCardiologysource ↗
- LCD L33393: Hospice - Determining Terminal Status — Wellpoint Federal
LCD-L33393National Government ServicesHospicesource ↗
- LCD L33631: Outpatient Physical and Occupational Therapy Services — Wellpoint Federal
LCD-L33631National Government ServicesOutpatientsource ↗
- LCD L39139: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound — Wellpoint Federal
LCD-L39139National Government ServicesOrthopedicssource ↗
- LCD L38371: Multimarker Serum Tests Related to Ovarian Cancer Testing — Wellpoint Federal
LCD-L38371National Government ServicesOncologysource ↗
- LCD L33576: Urodynamics — Wellpoint Federal
LCD-L33576National Government ServicesOutpatientsource ↗
- LCD L33624: Psychiatric Inpatient Hospitalization — Wellpoint Federal
LCD-L33624National Government ServicesInpatient (IPPS)source ↗
- LCD L33575: Varicose Veins of the Lower Extremity, Treatment of — Wellpoint Federal
LCD-L33575National Government ServicesOutpatientsource ↗
- LCD L33632: Psychiatry and Psychology Services — Wellpoint Federal
LCD-L33632National Government ServicesMulti-specialtysource ↗
- LCD L39189: Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG) — Wellpoint Federal
LCD-L39189National Government ServicesClinical Laboratorysource ↗
- LCD L35080: Select Minimally Invasive GERD Procedures — Wellpoint Federal
LCD-L35080National Government ServicesGastroenterologysource ↗
- LCD L36406: Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint — Wellpoint Federal
LCD-L36406National Government ServicesOrthopedicssource ↗
- LCD L37244: Micro-Invasive Glaucoma Surgery (MIGS) — Wellpoint Federal
LCD-L37244National Government ServicesOphthalmologysource ↗
- LCD L33803: Urological Supplies — DME MAC
LCD-L33803DME MACDMEsource ↗
- LCD L33787: Lower Limb Prostheses — DME MAC
LCD-L33787DME MACDMEsource ↗
- LCD L39027: Respiratory Pathogen Panel Testing — Wellpoint Federal
LCD-L39027National Government ServicesInfectious Disease / Microbiologysource ↗
FDA · 1
- FDA Approval: FOUNDAYO (ORFORGLIPRON) — Type 1 - New Molecular Entity
FDA-NDA220934NationalEndocrinologysource ↗