Medicare local coverage
Medicare coverage for Peripheral Nerve Injections and Procedures for Chronic Pain (LCD)
5 Medicare Administrative Contractors publish a local coverage determination (LCD) for Peripheral Nerve Injections and Procedures for Chronic Pain. The snapshot lists 5 LCD records: 4 active, 1 with a future effective date.
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 | L40261 | Active | Oct 12, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L40265 | Future, effective Nov 1, 2026 | Oct 15, 2026 |
Palmetto GBAMAC - Part A, MAC - Part B | L40263 | Active | Oct 12, 2026 |
Wellpoint FederalMAC - Part A, MAC - Part B | L40267 | Active | Oct 14, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L40300 | Active | Oct 15, 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.
- A60296CGS Administrators, LLCUpdated Sep 4, 2026
- A60298Palmetto GBAUpdated Sep 4, 2026
- A60300Noridian Healthcare Solutions, LLCUpdated Oct 16, 2026
- A60300Noridian Healthcare Solutions, LLCUpdated Sep 9, 2026
- A60302Wellpoint FederalUpdated Sep 4, 2026
- A60322WPS Insurance CorporationUpdated Sep 2, 2026
CMS also lists 4 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A60464, A60465, A60496, A60512.
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
- Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- Continuous Peripheral Nerve Blocks (CPNB)
- Epidural Steroid Injections for Pain Management
- Nerve Blocks and Electrostimulation for Peripheral Neuropathy
- Nerve Blocks for Peripheral Neuropathy
- Peripheral Nerve Blocks
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.