Medicare local coverage
Medicare coverage for Chemotherapy Drugs and their Adjuncts (LCD)
One Medicare Administrative Contractor, WPS Insurance Corporation, publishes a local coverage determination (LCD) for Chemotherapy Drugs and their Adjuncts. 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 |
|---|---|---|---|
WPS Insurance CorporationMAC - Part A, MAC - Part B | L37205 | Active | Nov 20, 2023 |
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.
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
- Controlled Substance Monitoring and Drugs of Abuse Testing
- Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
- Immunosuppressive Drugs
- Oral Anticancer Drugs
- Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics)
- Scalp Cooling for the Prevention of Chemotherapy-Induced Alopecia
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.