Medicare local coverage
Medicare coverage for Automated Detection and Quantification of Brain MRIs (LCD)
One Medicare Administrative Contractor, CGS Administrators, LLC, publishes a local coverage determination (LCD) for Automated Detection and Quantification of Brain MRIs. 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 | L40224 | Active | Nov 24, 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.
CMS also lists 1 response-to-comments article for this topic, where contractors answer public comments on the proposed LCD: A60362.
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
- Brain Natriuretic Peptide (BNP) Level
- Cardiac Event Detection
- MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and Neoplasia
- MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells
- MolDX: Phenotypic Biomarker Detection in Circulating Tumor Cells
- Prostate Cancer Detection with IsoPSA®
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.