Medicare local coverage
Medicare coverage for Urine Drug Testing (LCD)
5 Medicare Administrative Contractors publish a local coverage determination (LCD) for Urine Drug Testing. The snapshot lists 5 LCD records: 5 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 | L36029 | Active | Feb 27, 2026 |
Noridian Healthcare Solutions, LLCMAC - Part A, MAC - Part B | L36668 | Active | Aug 6, 2025 |
Palmetto GBAMAC - Part A, MAC - Part B | L35724 | Active | Feb 11, 2025 |
Wellpoint FederalMAC - Part A, MAC - Part B | L39611 | Active | Jul 14, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L34645 | Active | Aug 20, 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.
- A54799Palmetto GBAUpdated May 1, 2026
- A55001Noridian Healthcare Solutions, LLCUpdated Apr 30, 2026
- A56818CGS Administrators, LLCUpdated Jun 22, 2026
- A56915WPS Insurance CorporationUpdated Apr 29, 2026
- A59416Wellpoint FederalUpdated Jul 30, 2026
CMS also lists 7 response-to-comments articles for this topic, where contractors answer public comments on the proposed LCD: A59459, A59460, A59496, A59501, A59581, A59963, A59964.
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.