Medicare local coverage
Medicare coverage for MolDX: Pigmented Lesion Assay (LCD)
4 Medicare Administrative Contractors publish a local coverage determination (LCD) for MolDX: Pigmented Lesion Assay. 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 | L38111 | Active | May 13, 2025 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38153 | Retired Feb 5, 2026 | Feb 5, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38151 | Active | Jan 26, 2026 |
Palmetto GBAMAC - Part A, MAC - Part B | L38051 | Active | Jun 14, 2024 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L38178 | 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.
- A57868Palmetto GBAUpdated Dec 13, 2021
- A57915CGS Administrators, LLCUpdated May 13, 2025
- A57983WPS Insurance CorporationUpdated Dec 20, 2023
- A58052Noridian Healthcare Solutions, LLCUpdated Jan 26, 2026
- A58053Noridian Healthcare Solutions, LLCUpdated Feb 5, 2026
CMS also lists 5 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A57869, A57916, A57979, A58072, A58073.
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
- Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
- MolDX: Breast Cancer Assay: Prosigna®
- MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease
- Vitamin D Assay Testing
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.