Traditional MedicareCoverageMedium impact
Panretinal (Scatter) Laser Photocoagulation
Medicare/CMS - LCD·Ophthalmology, Endocrinology·Local Coverage Determination
Effective date
Apr 2, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination for Panretinal (Scatter) Laser Photocoagulation from CGS Administrators (Medicare MAC). The policy provides coverage criteria and billing guidelines for this diabetic retinopathy treatment procedure, effective April 2, 2026.
Action Required
Before April 2, 2026: Billing team and providers should review the full LCD L34064 policy text to understand specific coverage criteria, documentation requirements, and billing guidelines for panretinal laser photocoagulation. Update any internal protocols to align with CGS Medicare coverage determinations for this procedure.