Local Coverage DeterminationOrthopedics

LCD L36575: Total Knee Arthroplasty — Noridian

LCD-L36575

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L36575
Published
June 5, 2026
Effective date
November 6, 2025
MAC region
Noridian

Summary

The new Local Coverage Determination (LCD) for Total Knee Arthroplasty by Noridian may impact billing practices significantly. Providers should prepare for potential changes in approval processes and

Prepare for billing changes on Total Knee Arthroplasty.

Affected codes

ICD-10-CM

Affected specialty

Orthopedics alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36575&ver=21

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