Medicare local coverage
Medicare coverage for MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis (LCD)
4 Medicare Administrative Contractors publish a local coverage determination (LCD) for MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis. The snapshot lists 4 LCD records: 4 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 | L40199 | Active | Jun 19, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L40197 | Active | Jun 19, 2026 |
Palmetto GBAMAC - Part A, MAC - Part B | L40187 | Active | Jun 19, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L40272 | Active | Jun 18, 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.
- A60205Palmetto GBAUpdated Sep 15, 2026
- A60215CGS Administrators, LLCUpdated Sep 15, 2026
- A60217Noridian Healthcare Solutions, LLCUpdated Sep 15, 2026
- A60306WPS Insurance CorporationUpdated Sep 17, 2026
CMS also lists 4 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A60449, A60450, A60458, A60459.
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
- Hospice - Liver Disease
- Assays for Vitamins and Metabolic Function
- Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities
- Genetic Testing for Cardiovascular Disease
- Hepatic (Liver) Function Panel
- Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances
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.