Traditional MedicareCoverageHigh impact
Cervical Fusion
Medicare/CMS - LCD·Orthopedics, Neurosurgery·Local Coverage Determination
Effective date
Dec 26, 2024
We identified it
Jun 17, 2026
Summary
Local Coverage Determination L39788 for Cervical Fusion has been updated by WPS Insurance Corporation (Medicare Administrative Contractor). This policy affects Medicare coverage criteria and billing requirements for cervical fusion procedures, with an effective date of December 26, 2024.
Action Required
Before December 26, 2024: Billing team must review the full LCD L39788 policy text at cms.gov to identify specific coverage criteria, documentation requirements, and billing guidelines for cervical fusion procedures. Update billing workflows and provider documentation templates to ensure compliance with new Medicare requirements. Claims may be denied if new criteria are not met.