Medicare local coverage
Medicare coverage for MDS FISH (LCD)
4 Medicare Administrative Contractors publish a local coverage determination (LCD) for MDS FISH. 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 | L37608 | Active | Jul 24, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L37622 | Retired Oct 23, 2025 | Oct 23, 2025 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L37620 | Active | Oct 14, 2025 |
Palmetto GBAMAC - Part A, MAC - Part B | L37602 | Active | Dec 22, 2025 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L37772 | Active | May 23, 2023 |
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.
- A56913Palmetto GBAUpdated Jul 7, 2023
- A56926CGS Administrators, LLCUpdated Jul 27, 2026
- A57576WPS Insurance CorporationUpdated May 23, 2023
- A57661Noridian Healthcare Solutions, LLCUpdated Oct 14, 2025
- A57662Noridian Healthcare Solutions, LLCUpdated Oct 23, 2025
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.
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.