Medicare local coverage
Medicare coverage for Mohs Micrographic Surgery (LCD)
3 Medicare Administrative Contractors publish a local coverage determination (LCD) for Mohs Micrographic Surgery. The snapshot lists 4 LCD records: 3 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 | L34195 | Active | Apr 29, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L35704 | Retired Oct 23, 2025 | Oct 23, 2025 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L35702 | Active | Oct 14, 2025 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L35494 | Active | Oct 21, 2024 |
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.
- A56514Noridian Healthcare Solutions, LLCUpdated Oct 14, 2025
- A56515Noridian Healthcare Solutions, LLCUpdated Oct 23, 2025
- A56836CGS Administrators, LLCUpdated Apr 29, 2026
- A57477WPS Insurance CorporationUpdated Jul 24, 2026
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
- Mohs Micrographic Surgery (MMS)
- Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
- Blepharoplasty, Eyelid Surgery, and Brow Lift
- Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy
- Cataract Extraction (including Complex Cataract Surgery)
- Cataract 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.