Local Coverage DeterminationMulti-specialty

LCD L35490: Category III Codes — WPS

LCD-L35490

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L35490
Published
June 5, 2026
Effective date
January 1, 2026
MAC region
WPS

Summary

The implementation of Category III Codes by WPS starting January 1, 2026, may significantly impact billing practices for providers. These codes are used for tracking emerging technologies and services

Prepare for billing changes with new Category III Codes.

Affected codes

ICD-10-CM

Affected specialty

Multi-specialty alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35490&ver=85

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