Medicare local coverage
Medicare coverage for MolDX: Molecular Testing for Solid Organ Allograft Rejection (LCD)
4 Medicare Administrative Contractors publish a local coverage determination (LCD) for MolDX: Molecular Testing for Solid Organ Allograft Rejection. The snapshot lists 10 LCD records: 5 active, 5 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 | L38582 | Retired Aug 29, 2026 | Sep 17, 2026 |
CGS Administrators, LLCMAC - Part A, MAC - Part B | L40140 | Active | Jul 10, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38629 | Retired Aug 29, 2026 | Aug 29, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38671 | Retired Aug 29, 2026 | Aug 29, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L40062 | Active | Jul 9, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L40060 | Active | Jul 9, 2026 |
Palmetto GBAMAC - Part A, MAC - Part B | L38568 | Retired Aug 29, 2026 | Aug 29, 2026 |
Palmetto GBAMAC - Part A, MAC - Part B | L40058 | Active | Jul 8, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L38680 | Retired Aug 29, 2026 | Aug 29, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L40249 | Active | Jul 10, 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.
- A58019Palmetto GBAUpdated Aug 29, 2026
- A58061CGS Administrators, LLCUpdated Sep 17, 2026
- A58168Noridian Healthcare Solutions, LLCUpdated Aug 29, 2026
- A58170Noridian Healthcare Solutions, LLCUpdated Aug 29, 2026
- A58207WPS Insurance CorporationUpdated Aug 29, 2026
- A60146Palmetto GBAUpdated Jul 8, 2026
- A60152Noridian Healthcare Solutions, LLCUpdated Jul 31, 2026
- A60155Noridian Healthcare Solutions, LLCUpdated Jul 31, 2026
- A60161CGS Administrators, LLCUpdated Jul 8, 2026
- A60274WPS Insurance CorporationUpdated Aug 21, 2026
CMS also lists 10 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A58675, A58687, A58703, A58778, A58780, A60438, A60439, A60446, A60447, A60463.
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
- Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
- MolDX: Blood Product Molecular Antigen Typing
- MolDX: Melanoma Risk Stratification Molecular Testing
- MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma
- MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell Carcinoma
- MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis
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.