Medicare local coverage
Medicare coverage for Wound Care (LCD)
3 Medicare Administrative Contractors publish a local coverage determination (LCD) for Wound Care. The snapshot lists 3 LCD records: 3 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 |
|---|---|---|---|
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L37166 | Active | Apr 10, 2026 |
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L35125 | Active | Apr 10, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L37228 | Active | Mar 18, 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.
- A53001Novitas Solutions, Inc.Updated Jan 23, 2026
- A55818First Coast Service Options, Inc.Updated Jan 23, 2026
- A55909WPS Insurance CorporationUpdated Sep 17, 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
- Wound and Ulcer Care
- Advance Care Planning
- Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
- Cognitive Assessment and Care Plan Service
- Home Health - Psychiatric Care
- Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus
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.