Medicare local coverage

Medicare coverage for Routine Foot Care (LCD)

3 Medicare Administrative Contractors publish a local coverage determination (LCD) for Routine Foot Care. The snapshot lists 3 LCD records: 3 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

ContractorLCDStatusLast updated
First Coast Service Options, Inc.MAC - Part B
L33941ActiveOct 2, 2019
Novitas Solutions, Inc.MAC - Part A, MAC - Part B
L35138ActiveOct 11, 2019
Palmetto GBAMAC - Part A, MAC - Part B
L37643ActiveNov 27, 2019

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.

  • A52996Novitas Solutions, Inc.Updated Sep 26, 2025
  • A56680Palmetto GBAUpdated Oct 24, 2025
  • A57188First Coast Service Options, Inc.Updated Sep 26, 2025
  • A57954Noridian Healthcare Solutions, LLCUpdated Nov 10, 2025
  • A57957Noridian Healthcare Solutions, LLCUpdated Nov 6, 2025

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

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.