Traditional MedicareCoverageMedium impact
Micro-Invasive Glaucoma Surgery (MIGS)
Medicare/CMS - LCD·Ophthalmology·Local Coverage Determination
Effective date
Apr 2, 2026
We identified it
Jun 17, 2026
Summary
This is a new Local Coverage Determination for Micro-Invasive Glaucoma Surgery (MIGS) from CGS Administrators, effective April 2, 2026. The policy establishes Medicare coverage criteria for MIGS procedures, which will likely include specific documentation requirements and coverage limitations.
Action Required
Before April 2, 2026: Ophthalmology providers and billing teams must review the full LCD L37578 policy text to understand Medicare coverage criteria for MIGS procedures. Update billing workflows to ensure compliance with new documentation requirements and coverage limitations. Monitor for claim denials if criteria are not met.