Traditional MedicareCoverageMedium impact
Outpatient Physical and Occupational Therapy Services
Medicare/CMS - LCD·Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab)·Local Coverage Determination
Effective date
Jun 4, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination (LCD) for outpatient physical and occupational therapy services administered by CGS Administrators, LLC as Medicare Administrative Contractor. The policy will take effect on June 4, 2026, but specific coverage criteria and billing requirements are not detailed in the provided excerpt.
Action Required
By June 4, 2026: Billing team must review the complete LCD L34049 policy document at the provided CMS URL to understand specific coverage criteria, documentation requirements, and billing guidelines for outpatient physical and occupational therapy services. Update billing procedures and staff training accordingly based on the full policy content.