Local Coverage DeterminationMulti-specialty

LCD L36675: ProMark® Risk Score — CGS

LCD-L36675

Document details

Document type
Local Coverage Determination
Issuing body
MAC Contractor
Document ID
LCD-L36675
Published
June 5, 2026
Effective date
November 13, 2025
MAC region
CGS Administrators

Summary

The new LCD for ProMark® Risk Score establishes specific guidelines affecting reimbursement for risk assessments. This may lead to modified billing practices for providers utilizing these scores, impa

New LCD impacts billing for ProMark® Risk Score.

Affected codes

ICD-10-CM

Affected specialty

Multi-specialty alerts →

Source document

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36675&ver=19

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