Traditional MedicareCoverageMedium impact
Molecular Pathology Procedures
Medicare/CMS - LCD·Pathology, Oncology·Local Coverage Determination
Effective date
Jul 15, 2026
We identified it
Jun 17, 2026
Summary
A new Local Coverage Determination for Molecular Pathology Procedures has been issued by National Government Services, effective July 15, 2026. This policy will establish coverage guidelines for molecular pathology testing procedures under Medicare Part A and Part B.
Action Required
By July 14, 2026: Review the full LCD L35000 policy text at cms.gov to understand specific coverage criteria and documentation requirements for molecular pathology procedures. Update billing workflows and staff training accordingly before the effective date to ensure compliance with new Medicare coverage guidelines.