Medicare local coverage
Medicare coverage for Implantable Continuous Glucose Monitors (I-CGM) (LCD)
7 Medicare Administrative Contractors publish a local coverage determination (LCD) for Implantable Continuous Glucose Monitors (I-CGM). The snapshot lists 8 LCD records: 7 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 | L38662 | Active | Sep 29, 2026 |
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L38664 | Active | Jun 21, 2024 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38659 | Retired Oct 23, 2025 | Oct 23, 2025 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38657 | Active | Oct 14, 2025 |
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L38617 | Active | Jun 21, 2024 |
Palmetto GBAMAC - Part A, MAC - Part B | L38743 | Active | Jul 19, 2024 |
Wellpoint FederalMAC - Part A, MAC - Part B | L38623 | Active | Jul 14, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L38686 | Active | Jun 18, 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.
- A58110Novitas Solutions, Inc.Updated Sep 3, 2026
- A58116Wellpoint FederalUpdated Sep 10, 2026
- A58127CGS Administrators, LLCUpdated Sep 29, 2026
- A58133Noridian Healthcare Solutions, LLCUpdated Sep 1, 2026
- A58136First Coast Service Options, Inc.Updated Sep 3, 2026
- A58138Noridian Healthcare Solutions, LLCUpdated Oct 23, 2025
- A58213WPS Insurance CorporationUpdated Sep 2, 2026
- A58277Palmetto GBAUpdated Sep 4, 2026
CMS also lists 13 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A58340, A58342, A58382, A58399, A58622, A59611, A59614, A59616, A59659, A59703, A59832, A59833, A59909.
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
- Glucose Monitors
- Continuous Peripheral Nerve Blocks (CPNB)
- Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus
- Implantable Infusion Pump
- Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based
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.