Traditional MedicareCoverageMedium impact
Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Medicare/CMS - LCD·Cardiology, Vascular Surgery, Internal Medicine +2 more·Local Coverage Determination
Effective date
May 17, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination for non-invasive arterial duplex ultrasound of upper and lower extremities by Novitas Solutions (Medicare contractor). The policy was last updated on 3/27/2026 with an effective date of 5/17/2026, indicating coverage criteria and requirements for these diagnostic procedures.
Action Required
By May 17, 2026: Billing team must review the complete LCD L40276 policy document to understand coverage criteria, medical necessity requirements, and documentation standards for arterial duplex ultrasound procedures. Update prior authorization processes and medical necessity checklists based on the full policy requirements. Ensure providers are aware of any new documentation requirements to prevent claim denials.