Medicare local coverage
Medicare coverage for Micro-Invasive Glaucoma Surgery (MIGS) (LCD)
7 Medicare Administrative Contractors publish a local coverage determination (LCD) for Micro-Invasive Glaucoma Surgery (MIGS). The snapshot lists 8 LCD records: 7 active, 1 retired.
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 | L37578 | Active | Mar 27, 2026 |
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L38233 | Active | Nov 8, 2019 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38301 | Retired Oct 23, 2025 | Oct 23, 2025 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L38299 | Active | Oct 14, 2025 |
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L38223 | Active | Nov 8, 2019 |
Palmetto GBAMAC - Part A, MAC - Part B | L37531 | Active | Sep 24, 2024 |
Wellpoint FederalMAC - Part A, MAC - Part B | L37244 | Active | Aug 4, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L39907 | Active | Aug 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.
- A56491CGS Administrators, LLCUpdated Mar 18, 2025
- A56588Wellpoint FederalUpdated Jul 16, 2026
- A56633Novitas Solutions, Inc.Updated Nov 9, 2023
- A56647First Coast Service Options, Inc.Updated Nov 9, 2023
- A56866Palmetto GBAUpdated Jun 12, 2026
- A57863Noridian Healthcare Solutions, LLCUpdated Jun 4, 2026
- A57864Noridian Healthcare Solutions, LLCUpdated Oct 23, 2025
CMS also lists 13 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A55707, A56783, A57735, A57740, A57893, A57907, A57908, A58855, A58887, A59896, A59897, A59910, A59912.
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
- Blepharoplasty, Eyelid Surgery, and Brow Lift
- Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy
- Cataract Extraction (including Complex Cataract Surgery)
- Cataract Surgery
- Cataract Surgery in Adults
- Cosmetic and Reconstructive Surgery
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.