Traditional MedicareCoverageMedium impact
Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices
Medicare/CMS - LCD·Cardiology, Internal Medicine, Geriatrics·Local Coverage Determination
Effective date
Aug 13, 2026
We identified it
Aug 14, 2026
Summary
This Local Coverage Determination (LCD L40255) from Noridian Healthcare Solutions establishes coverage criteria for temporary nontherapeutic ambulatory cardiac monitoring devices under Medicare Part A and Part B. The policy becomes effective 8/13/2026 and replaces previous guidance that ended 6/20/2026. Billing teams must review specific coverage requirements, medical necessity documentation, and any associated billing code restrictions for cardiac monitoring devices in their claims processing.
Action Required
By August 6, 2026: Billing team and clinical documentation staff must obtain and review the complete policy text from the CMS Medicare Coverage Database (https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40255&ver=8) to identify specific HCPCS and CPT codes for temporary nontherapeutic ambulatory cardiac monitoring devices covered under this LCD. Update billing system edits, prior authorization requirements, and medical necessity templates to align with L40255 criteria. Providers must document medical necessity according to the policy for all cardiac monitoring device claims submitted on or after 8/13/2026. Notify cardiology, internal medicine, and geriatrics providers of any new documentation requirements. Claims submitted without proper documentation or outside coverage parameters may be denied.