Medicare local coverage
Medicare coverage for Cervical Fusion (LCD)
7 Medicare Administrative Contractors publish a local coverage determination (LCD) for Cervical Fusion. The snapshot lists 7 LCD records: 7 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 | L39741 | Active | Jan 29, 2025 |
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L39799 | Active | Mar 7, 2025 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L39758 | Active | Sep 2, 2025 |
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L39793 | Active | Mar 7, 2025 |
Palmetto GBAMAC - Part A, MAC - Part B | L39773 | Active | Jan 10, 2025 |
Wellpoint FederalMAC - Part A, MAC - Part B | L39770 | Active | Jul 16, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L39788 | Active | May 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.
- A59608CGS Administrators, LLCUpdated Apr 4, 2026
- A59624Noridian Healthcare Solutions, LLCUpdated Mar 30, 2026
- A59632Wellpoint FederalUpdated Jul 16, 2026
- A59634Palmetto GBAUpdated Apr 2, 2026
- A59664WPS Insurance CorporationUpdated May 21, 2026
- A59668Novitas Solutions, Inc.Updated Apr 24, 2026
- A59674First Coast Service Options, Inc.Updated Apr 24, 2026
CMS also lists 7 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A59736, A59738, A59772, A59796, A59797, A59802, A59803.
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
- Cervical Disc Replacement
- Cervical Traction Devices
- Lumbar Spinal Fusion
- Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
- Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain
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.