Traditional MedicareCoverageMedium impact
Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease
Medicare/CMS - LCD·Cardiology·Local Coverage Determination
Effective date
May 28, 2026
We identified it
Jun 17, 2026
Summary
This is a new Local Coverage Determination (LCD) establishing coverage criteria for Non-Invasive Fractional Flow Reserve (FFR) testing for ischemic heart disease under Medicare. The policy defines when this cardiac diagnostic test will be covered and reimbursed.
Action Required
By May 28, 2026: Billing team must review the full LCD L38839 policy text to identify specific coverage criteria and billing requirements for Non-Invasive FFR testing. Update billing system with any prior authorization requirements and coverage limitations. Notify cardiology providers of new coverage determination guidelines.