Medicare local coverage
Medicare coverage for Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities (LCD)
One Medicare Administrative Contractor, CGS Administrators, LLC, publishes a local coverage determination (LCD) for Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities. The snapshot lists 1 LCD record: 1 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 | L36690 | Active | Aug 28, 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.
- A56696CGS Administrators, LLCUpdated Aug 28, 2026
CMS also lists 1 response-to-comments article for this topic, where contractors answer public comments on the proposed LCD: A55276.
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
- Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities
- Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds
- Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities
- Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
- Treatment of Chronic Venous Insufficiency of the Lower Extremities
- Treatment of Varicose Veins of the Lower Extremities
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.