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Lucid Diagnostics Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 12 November 2026: press release. The quarter’s numbers.

Key takeaways

  • Medicare payments began in October: Claims were submitted from late September, after meetings with Novitas medical directors and a clinical evidence dossier reflecting their feedback. Source
  • Payments at established fee rate: Claims have been paid at the established Clinical Laboratory Fee Schedule rate of $1,938.01 per test, through claim-by-claim adjudication separate from the MolDX LCD. Source
  • Pending LCD delay blamed on backlog: After a formal meeting with CMS leadership, the company said the delay in the pending MolDX LCD reconsideration is administrative, and it expects the draft LCD as the backlog clears. Source
  • Revenue fell as test count rose: Third-quarter revenue was $1.2 million on 2,871 tests, against $1.5 million on 2,770 tests in 2Q26. Source
  • October set record test volume: The company reported more than 1,800 EsoGuard tests in October, its highest monthly volume to date. Source
  • GAAP net loss narrowed from 2Q26: GAAP net loss attributable to common stockholders was about $6.7 million, or $(0.03) per share, against $14.7 million, or $(0.08), in 2Q26, which included a $3.0 million deemed preferred dividend. Source
  • Cash fell to $18.0 million: Cash and cash equivalents were $18.0 million at September 30, 2026, against $33.4 million at June 30, 2026 and $34.7 million at December 31, 2025. Source

“Medicare is now paying for EsoGuard. For the first time, Medicare beneficiaries nationwide have fully reimbursed access to this groundbreaking test,”

Lishan Aklog, M.D., Lucid’s Chairman and Chief Executive Officer

What changed from last quarter

  • New: Medicare payments on EsoGuard claims began in October. The prior release said the company was awaiting a positive draft Medicare coverage policy. Source
  • New: Commercial efforts were repositioned toward EsoGuard testing among at-risk Medicare beneficiaries. Source
  • New: The company launched its first two U.S. Department of Veterans Affairs programs, with more VA centers in the pipeline. Source
  • New: Following quarter end, the company closed a $15.0 million Series C Convertible Preferred Stock financing. Source

Medicare coverage and payments

  • Medicare payments began in October: Claims were submitted from late September, after meetings with Novitas medical directors and a clinical evidence dossier reflecting their feedback. Source
  • Payments at established fee rate: Claims have been paid at the established Clinical Laboratory Fee Schedule rate of $1,938.01 per test, through claim-by-claim adjudication separate from the MolDX LCD. Source
  • Pending LCD delay blamed on backlog: After a formal meeting with CMS leadership, the company said the delay in the pending MolDX LCD reconsideration is administrative, and it expects the draft LCD as the backlog clears. Source

Test volumes and revenue

  • Revenue fell as test count rose: Third-quarter revenue was $1.2 million on 2,871 tests, against $1.5 million on 2,770 tests in 2Q26. Source
  • October set record test volume: The company reported more than 1,800 EsoGuard tests in October, its highest monthly volume to date. Source
  • More than 50,000 tests since launch: Cumulative EsoGuard testing since launch is above 50,000 tests. Source

“We are laser-focused on expanding access to EsoGuard for Medicare beneficiaries and translating this early momentum into revenue growth.”

Lishan Aklog, M.D., Lucid’s Chairman and Chief Executive Officer

Commercial coverage and VA

  • Concert plans expected adopted by year-end: Five Concert client health plans, three already reported, are expected to adopt the EsoGuard coverage policy by year-end. Source
  • VA programs launched, pipeline building: The first two VA programs launched this quarter, and management expects the VA to become a meaningful long-term contributor. Source
  • New billing and coding milestones: A new Category III CPT code for EsoCheck cell collection and a proposed ICD-10 code for positive EsoGuard results were announced to ease billing. Source

Costs and loss measures

  • Operating expenses lower than 2Q26: Operating expenses were about $13.5 million, including $1.5 million of stock-based compensation, against $14.3 million and $1.7 million in 2Q26. Source
  • GAAP net loss narrowed from 2Q26: GAAP net loss attributable to common stockholders was about $6.7 million, or $(0.03) per share, against $14.7 million, or $(0.08), in 2Q26, which included a $3.0 million deemed preferred dividend. Source
  • Non-GAAP adjusted loss near 2Q26: Non-GAAP adjusted loss was about $10.6 million, or $(0.06) per share, against about $10.9 million, or $(0.06), in 2Q26. Source
  • Other income from convertible debt value: Other income, net was $5.6 million; the reconciliation lists a $5.5 million change in fair value of convertible debt among the adjustments. Source

“What has been a marathon is now a sprint.”

Lishan Aklog, M.D., Lucid’s Chairman and Chief Executive Officer

Clinical data and guidelines

  • Largest nonendoscopic study published: The company announced publication of an 11,991-patient real-world EsoGuard study, described as the largest peer-reviewed study of nonendoscopic precancer testing. Source
  • EsoCheck sampling succeeded in 95%: Sampling succeeded in 95% of patients, averaged under two minutes, and had no reported device-related adverse events. Source
  • AGA draft guidelines cite EsoGuard: The AGA draft Barrett’s esophagus guidelines name EsoGuard and EsoCheck as an alternative to endoscopy; EsoGuard is the only commercially available test cited. Source

Cash and financing

  • Cash fell to $18.0 million: Cash and cash equivalents were $18.0 million at September 30, 2026, against $33.4 million at June 30, 2026 and $34.7 million at December 31, 2025. Source
  • $15 million Series C closed after quarter: The company described the $15.0 million private placement as made to existing long-term investors, closed after the quarter ended. Source
  • Basic and diluted shares rose: Basic and diluted shares outstanding were 190,945 thousand in the quarter, against 183,124 thousand in 2Q26 and 108,176 thousand a year earlier. Source

Strategy and commercial repositioning

  • New phase centers on commercial growth: Management described the Medicare reimbursement as the start of a new phase focused on commercial acceleration and revenue growth. Source
  • Pace described as a sprint: Management described the work ahead as moving from a marathon to a sprint, following the start of Medicare payments. Source

Coming up, as management said on 12 November 2026

  • Draft LCD publication as backlog clears: Management expects the draft LCD to be published as the backlog begins to clear; no date was given. Source
  • Concert plans adoption by year-end: Five Concert client health plans are expected to have formally adopted the EsoGuard policy by year-end. Source
  • VA expected as long-term contributor: Management continues to expect the VA to be a meaningful long-term contributor to commercial activity and revenue; no timing was given. Source
  • AGA draft guidelines in public comment: The AGA released its draft Barrett’s esophagus guidelines for public comment; the final timing was not stated. Source

Figures management reported

FigureReported
EsoGuard tests performed, third quarter 2026 Source2,871
EsoGuard tests performed, second quarter 20262,770
EsoGuard tests in October 2026 Sourcemore than 1,800
EsoGuard tests since launch Sourcemore than 50,000
Concert client health plans expected to adopt by year-end Sourcefive

Risks management discussed

  • Regulatory: Medicare payments currently run claim by claim, independent of the MolDX LCD that remains pending reconsideration. Source
  • Operational: Management said near-term growth depends on commercial and operational execution by its team. Source
  • Demand: Adoption of the Concert coverage policy by client health plans is expected by year-end but was not complete at quarter end. Source

Earlier plans management reported on

  • Delayed: Management attributes the delay in the pending LCD reconsideration to an administrative backlog and expects the draft LCD as it clears. Source
  • Not stated: Management expects five Concert client health plans, including three previously reported, to have adopted the policy by year-end. Source
  • Not stated: Management continues to expect the VA to be a meaningful long-term contributor to its commercial activity and revenue. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.