Medicare local coverage
Medicare coverage for Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds (LCD)
One Medicare Administrative Contractor, Novitas Solutions, Inc., publishes a local coverage determination (LCD) for Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds. The snapshot lists 1 LCD record: 1 active.
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 |
|---|---|---|---|
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L35041 | Active | Sep 20, 2019 |
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.
- A54117Novitas Solutions, Inc.Updated Jan 23, 2026
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
- Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities
- Duplex Scan Of Lower Extremity Arteries
- Lower Extremity Major Joint Replacement (Hip and Knee)
- Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
- Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication
- Treatment of Chronic Venous Insufficiency of the Lower Extremities
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.