Medicare local coverage
Medicare coverage for Epidural Steroid Injections for Pain Management (LCD)
7 Medicare Administrative Contractors publish a local coverage determination (LCD) for Epidural Steroid Injections for Pain Management. The snapshot lists 7 LCD records: 7 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 |
|---|---|---|---|
CGS Administrators, LLCMAC - Part A, MAC - Part B | L39015 | Active | Apr 10, 2026 |
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L33906 | Active | Apr 10, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L39240 | Active | May 7, 2026 |
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L36920 | Active | Apr 10, 2026 |
Palmetto GBAMAC - Part A, MAC - Part B | L38994 | Active | Apr 8, 2026 |
Wellpoint FederalMAC - Part A, MAC - Part B | L39036 | Active | Jul 16, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L39054 | Active | Apr 21, 2026 |
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.
- A56651First Coast Service Options, Inc.Updated Nov 9, 2023
- A56681Novitas Solutions, Inc.Updated Nov 9, 2023
- A58695Palmetto GBAUpdated Jan 13, 2025
- A58731CGS Administrators, LLCUpdated Mar 6, 2025
- A58745Wellpoint FederalUpdated Jul 14, 2026
- A58777WPS Insurance CorporationUpdated Nov 20, 2023
- A58993Noridian Healthcare Solutions, LLCUpdated Sep 4, 2025
CMS also lists 3 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A58905, A58912, A58928.
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
- Facet Joint Interventions for Pain Management
- Pain Management - Injection of tendon sheaths, ligaments, bursa, and ganglion cysts
- Peripheral Nerve Injections and Procedures for Chronic Pain
- Urinary Biomarkers for Chronic Pain Management
- Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
- Bariatric Surgical Management of Morbid Obesity
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.