Medicare local coverage
Medicare coverage for Lower Esophageal Magnetic Sphincter Augmentation (LCD)
One Medicare Administrative Contractor, Palmetto GBA, publishes a local coverage determination (LCD) for Lower Esophageal Magnetic Sphincter Augmentation. 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 |
|---|---|---|---|
Palmetto GBAMAC - Part A, MAC - Part B | L39780 | Active | Dec 8, 2025 |
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.
- A59654Palmetto GBAUpdated May 21, 2024
CMS also lists 1 response-to-comments article for this topic, where contractors answer public comments on the proposed LCD: A59759.
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 Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds
- Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities
- Duplex Scan Of Lower Extremity Arteries
- Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities
- Lower Extremity Major Joint Replacement (Hip and Knee)
- Lower Limb Prostheses
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.