Traditional MedicareCoverageMedium impact
Intravenous Immune Globulin
Medicare/CMS - LCD·Hematology, Oncology, Allergy & Immunology +3 more·Local Coverage Determination
Effective date
Apr 1, 2026
We identified it
Jun 17, 2026
Summary
A new Local Coverage Determination for Intravenous Immune Globulin (IVIG) has been issued by CGS Administrators and Noridian Healthcare Solutions for DME MAC jurisdictions, effective April 1, 2026. This policy establishes coverage criteria and billing requirements for IVIG therapies under Medicare.
Action Required
By April 1, 2026: Billing team must review the complete LCD L33610 policy text from CMS to identify specific coverage criteria, documentation requirements, and billing guidelines for IVIG. Update prior authorization workflows and encounter forms based on the detailed policy requirements once the full text is reviewed.