Traditional MedicareCoverageMedium impact
Wound Care
Medicare/CMS - LCD·Wound Care, Family Medicine, Internal Medicine +5 more·Local Coverage Determination
Effective date
Jul 23, 2020
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination (LCD) for wound care services from First Coast Service Options, Inc. (Medicare Administrative Contractor). The policy was last updated on 4/10/2026 but has an effective date of 7/23/2020, suggesting this may be guidance clarification rather than a new policy change.
Action Required
Review current wound care billing practices against LCD L37166 requirements. Billing team should verify that all wound care claims meet the coverage criteria outlined in this Local Coverage Determination. Ensure documentation supports medical necessity for wound care services billed to Medicare patients in the First Coast Service Options coverage area.