Traditional MedicareCoverageMedium impact
Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation
Medicare/CMS - LCD·Ophthalmology, ENT (Ear, Nose & Throat)·Local Coverage Determination
Effective date
May 28, 2026
We identified it
Jun 17, 2026
Summary
CGS Administrators has issued a new Local Coverage Determination (L34171) for nasal punctum-nasolacrimal duct dilation and probing procedures with or without irrigation, effective May 28, 2026. This policy will establish coverage criteria and billing guidelines for these tear duct procedures under Medicare Part A and Part B.
Action Required
By May 28, 2026: Review the complete LCD L34171 policy document at the CMS Medicare Coverage Database to understand specific coverage criteria, documentation requirements, and billing guidelines for nasal punctum-nasolacrimal duct procedures. Update billing workflows and provider documentation templates accordingly once the full policy details are available.