Traditional MedicareCoverageMedium impact
Outpatient Psychiatry and Psychology Services
Medicare/CMS - LCD·Psychiatry·Local Coverage Determination
Effective date
Jun 4, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination for outpatient psychiatry and psychology services through CGS Administrators (Medicare contractor). Without the full policy text content, the specific changes cannot be determined, but this affects Medicare billing for mental health services.
Action Required
By June 4, 2026: Billing team must review the full LCD L34353 policy text at the CMS Medicare Coverage Database to identify specific coverage criteria, documentation requirements, and billing changes for outpatient psychiatry and psychology services. Update billing procedures and staff training accordingly for Medicare patients.