Medicare local coverage
Medicare coverage for Surgical Treatment of Nails (LCD)
3 Medicare Administrative Contractors publish a local coverage determination (LCD) for Surgical Treatment of Nails. 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
| Contractor | LCD | Status | Last updated |
|---|---|---|---|
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L33833 | Active | Mar 14, 2025 |
Novitas Solutions, Inc.MAC - Part A, MAC - Part B | L34887 | Active | Mar 14, 2025 |
Palmetto GBAMAC - Part A, MAC - Part B | L39258 | Active | Mar 3, 2025 |
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.
- A52998Novitas Solutions, Inc.Updated Jan 23, 2026
- A57666First Coast Service Options, Inc.Updated Jan 23, 2026
- A59028Palmetto GBAUpdated Jan 27, 2026
CMS also lists 4 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A58960, A58961, A59303, A59579.
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
- Bariatric Surgical Management of Morbid Obesity
- Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
- Debridement of Mycotic Nails
- Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
- Routine Foot Care and Debridement of Nails
- Surgical Dressings
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.