Medicare local coverage
Medicare coverage for Frequency of Hemodialysis (LCD)
7 Medicare Administrative Contractors publish a local coverage determination (LCD) for Frequency of Hemodialysis. 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 | L37575 | Active | Feb 27, 2026 |
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L37564 | Active | Sep 27, 2019 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L37502 | Active | Oct 8, 2025 |
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L35014 | Active | Sep 19, 2019 |
Palmetto GBAMAC - Part A, MAC - Part B | L34575 | Active | Jun 5, 2023 |
Wellpoint FederalMAC - Part A, MAC - Part B | L37475 | Active | Jul 14, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L37537 | Active | Feb 20, 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.
- A55354Palmetto GBAUpdated Jun 5, 2023
- A55672Wellpoint FederalUpdated Jul 14, 2026
- A55675Noridian Healthcare Solutions, LLCUpdated Oct 6, 2025
- A55703WPS Insurance CorporationUpdated Jun 18, 2026
- A55723Novitas Solutions, Inc.Updated Jan 20, 2023
- A56159CGS Administrators, LLCUpdated Feb 27, 2026
- A56666First Coast Service Options, Inc.Updated Jan 20, 2023
CMS also lists 6 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A56215, A56224, A56235, A56240, A56241, A56252.
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
- Frequency of Laboratory Tests
- High Frequency Chest Wall Oscillation Devices
- Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
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.