Medicare local coverage
Medicare coverage for Outpatient Psychiatry and Psychology Services (LCD)
One Medicare Administrative Contractor, CGS Administrators, LLC, publishes a local coverage determination (LCD) for Outpatient Psychiatry and Psychology Services. 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 |
|---|---|---|---|
CGS Administrators, LLCMAC - Part A, MAC - Part B | L34353 | Active | May 29, 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.
- A57065CGS Administrators, LLCUpdated May 29, 2026
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
- Psychiatry and Psychology Services
- Cardiology Non-emergent Outpatient Stress Testing
- Outpatient Observation Bed/Room Services
- Outpatient Occupational Therapy
- Outpatient Physical and Occupational Therapy Services
- Outpatient Physical Therapy
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.