Medicare local coverage
Medicare coverage for Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin (LCD)
4 Medicare Administrative Contractors publish a local coverage determination (LCD) for Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin. The snapshot lists 5 LCD records: 4 active, 1 retired.
An LCD applies only in the jurisdiction of the contractor that wrote it. Two contractors can cover the same service with different criteria, documentation requirements and covered diagnoses, so check the LCD from the contractor that processes your claims.
LCDs by contractor
| Contractor | LCD | Status | Last updated |
|---|---|---|---|
CGS Administrators, LLCMAC - Part A, MAC - Part B | L39434 | Active | Feb 27, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L39398 | Retired Mar 5, 2026 | Mar 5, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L39396 | Active | Feb 23, 2026 |
Palmetto GBAMAC - Part A, MAC - Part B | L39270 | Active | Dec 13, 2024 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L39477 | Active | Dec 18, 2024 |
An LCD marked Future has been finalized and is in its notice period; it applies from the effective date shown. LCD IDs link to the record on cms.gov.
Billing and coding articles
The codes live in the billing and coding article that goes with each LCD: the CPT and HCPCS codes the policy applies to, the ICD-10 codes that support medical necessity, and any modifier or documentation rules.
- A59042Palmetto GBAUpdated Aug 8, 2024
- A59175Noridian Healthcare Solutions, LLCUpdated Feb 23, 2026
- A59177Noridian Healthcare Solutions, LLCUpdated Mar 5, 2026
- A59215CGS Administrators, LLCUpdated Feb 27, 2026
- A59259WPS Insurance CorporationUpdated Nov 20, 2024
CMS also lists 3 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A59148, A59325, A59326.
Check claim lines against Medicare coverage
Coverage Check tells you whether a claim's diagnoses support Medicare LCD or NCD coverage for each procedure line, and shows the policy and CMS source behind each answer.
Related LCD topics
- Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin
- MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer
- Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
- Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds
- Cardiology Non-emergent Outpatient Stress Testing
- MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell Carcinoma
All Medicare LCD topics · National coverage determinations · Payer policies by payer
Source: CMS Medicare Coverage Database, via the public CMS Coverage API, snapshot Oct 25, 2026. LCDs change between snapshots; confirm the version in effect for your date of service on cms.gov before billing.