Latest Updates

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Articles Source Posted
MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma (L39373) - R1 - Effective August 6, 2023 Oct 16, 2025
MolDX: Pharmacogenomics Testing (L38335) - R4 - Effective October 2, 2025 Oct 16, 2025
Billing and Coding: Lab: Bladder/Urothelial Tumor Markers (A55028) - R10 - Effective October 1, 2025 Oct 16, 2025
MolDX: Melanoma Risk Stratification Molecular Testing (L37750) - R8 - Effective June 26, 2025 Oct 16, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective October 16, 2025 Oct 16, 2025
Billing and Coding: Routine Foot Care (A57954) - R17 - Effective October 1, 2025 Oct 16, 2025
MLN Connects Special Edition: Claims Hold Update - October 15, 2025 Oct 15, 2025
PECOS: Application Data Entry Webinar - 11/19/2025 Oct 15, 2025
Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Webinar - 11/20/2025 Oct 15, 2025
End Stage Renal Disease (ESRD) Webinar - 11/20/2025 Oct 15, 2025
Outpatient Therapy Services: Clarifying Qualifications for Speech-Language Pathologists Oct 09, 2025
Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) (L39810) - R2 - Effective April 17, 2025 Oct 09, 2025
MolDX: Pigmented Lesion Assay (L38151) - R2 - Effective June 20, 2024 Oct 09, 2025
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer (L37897) - R4 - Effective October 14, 2021 Oct 09, 2025
ProMark Risk Score (L36704) - R6 - Effective December 30, 2021 Oct 09, 2025
MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (L39923) - R2 - Effective August 17, 2025 Oct 09, 2025
MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (L39001) - R5 - Effective July 3, 2025 Oct 09, 2025
MolDX: Molecular Diagnostic Tests (MDT) (L35160) - R17 - Effective May 4, 2025 Oct 09, 2025
Claims for RHC and FQHC visits at Skilled Nursing Facilities (SNFs) inappropriately rejected with Common Working File (CWF) edit C7252 Oct 08, 2025
Information for Critical Access Hospitals Oct 06, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective Multiple Dates Oct 02, 2025
Billing and Coding: MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells (A58183) - R5 - Effective June 2, 2022 Oct 02, 2025
Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer (A57329) - R5 - Effective February 24, 2022 Oct 02, 2025
MolDX: Pharmacogenomics Testing (L38335) - R3 - Effective October 2, 2025 Oct 02, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57384) - R17 - Effective July 3, 2025 Oct 02, 2025
Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (A57423) - R5 - Effective November 7, 2024 Oct 02, 2025
Billing and Coding: MolDX: MGMT Promoter Methylation Analysis (A57432) - R3 - Effective October 14, 2021 Oct 02, 2025
Billing and Coding: MolDX: Oncotype DX Breast Cancer Assay (A54480) - R5 - Effective November 1, 2019 Oct 02, 2025
Policy Revision(s) for Multiple Billing and Coding Articles - Effective October 2, 2025 Oct 02, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R22 - Effective October 1, 2025 Oct 02, 2025
2025 ICD-10 Billing and Coding Article Updates - Effective October 1, 2025 Oct 02, 2025
Self-Administered Drug Exclusion List (A53032) - R43 - Effective November 15, 2025 Oct 02, 2025
Continuation of System Changes to Automate Processing of Inpatient Claims for Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapy Cases Oct 01, 2025
MLN Connects - October 1, 2025 Oct 01, 2025
Preadmission Screening Refresh: What To Know Sep 30, 2025
Materials Available from the Sept. 17 National Ambulance Coalition Meeting Sep 30, 2025
Connecting Beneficiaries and Suicide Prevention Resources Sep 30, 2025
Multi-Jurisdictional Contractor Advisory Committee (CAC) Meeting Announcement - Implantation of Anterior Segment Intraocular Nonbiodegradable Drug-eluting System - November 12, 2025, 2 - 4 pm CT Sep 26, 2025
Billing and Coding: MolDX: Pigmented Lesion Assay (A58052) - R3 - Effective December 23, 2021 Sep 25, 2025
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58973) - R10 - Effective July 1, 2025 Sep 25, 2025
Billing and Coding: MolDX: Prometheus IBD sgi Diagnostic Policy (A57516) - R4 - Effective October 20, 2022 Sep 25, 2025
MS-DRGs Subject to Inpatient Prospective Payment System Replaced Devices Policy: FY 2026 Update CR14136 Sep 25, 2025
Medicare Claims Processing Manual, Chapter 18 Update: HCV Preventive & Screening Services CR14119 Sep 25, 2025
IPPS & LTCH PPS: FY 2026 Changes CR14203 Sep 25, 2025
MLN Connects - September 25, 2025 Sep 25, 2025
Billing and Coding: Pulmonary Rehabilitation Services (A56152) - R8 - Effective October 1, 2023 Sep 25, 2025
Billing and Coding: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML) (A55711) - R7 - Effective June 1, 2023 Sep 25, 2025
Billing and Coding: MolDX: Oncotype DX Colon Cancer (A54484) - R4 - Effective November 1, 2019 Sep 25, 2025
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers - Coding and Billing (A54929) - R12 - Effective October 1, 2023 Sep 25, 2025
Proposed LCDs - Published for Review and Comments Sep 25, 2025
Open Public Meeting Announcement Multiple LCDs - October 30, 2025 Sep 25, 2025
Policy Revision(s) for Multiple Billing and Coding Articles - Effective September 25, 2025 Sep 25, 2025
MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (L39923) - R1 - Effective July 3, 2025 Sep 25, 2025
Billing and Coding: MolDX: Genetic Testing in Heritable Thoracic Aortic Disease (A59868) - R1 - Effective August 17, 2025 Sep 25, 2025
Billing and Coding: MolDX: Molecular Testing for Identification and Management of Hereditary Transthyretin Amyloidosis (A59872) - R1 - Effective August 17, 2025 Sep 25, 2025
Skilled Nursing Facility (SNF) 101 and 102 - On-Demand Webinars Available Sep 23, 2025
Reminder to Use "Browse by Provider Type" for Radiation Oncology Sep 22, 2025
PECOS Introduction and Overview Webinar - 11/05/2025 Sep 18, 2025
Identity and Access Management System Connections Webinar - 10/29/2025 Sep 18, 2025
Signature Requirements Webinar - 11/12/2025 Sep 18, 2025
Comprehensive Outpatient Rehabilitation Facility Webinar - 11/06/2025 Sep 18, 2025
Blood and Blood Products Webinar - 10/30/2025 Sep 18, 2025
Skilled Nursing Facility (SNF) Consolidated Billing (CB) Webinar - 11/13/2025 Sep 18, 2025
DMEPOS Fee Schedule: October 2025 Quarterly Update CR14214 Sep 18, 2025
CLFS Subject to Reasonable Charge Payment: October 2025 Update CR14211 Sep 18, 2025
Self-Administered Drugs - Process to Determine Which Drugs Are Not Usually Self-administered By the Patient (A53893) - R3 - Effective October 1, 2015 Sep 18, 2025
MLN Connects - September 18, 2025 Sep 18, 2025
Local Coverage Determination (LCD) Finalized - Effective November 2, 2025 Sep 18, 2025
Micro Invasive Glaucoma Surgery L38299 - R6 - Effective November 17, 2024 Sep 18, 2025
Billing and Coding: Billing Limitations for Pharmacies (A56119) Retirement - Effective September 18, 2025 Sep 18, 2025
Redetermination Versus Reconsideration Forms - Appeals Newsletter Part 16 Sep 15, 2025
Intensity Modulated Radiation Therapy (IMR) Coverage Criteria Webinar - 10/21/2025 Sep 12, 2025
Identity and Access Personal Profile Webinar - 10/22/2025 Sep 12, 2025
How to Locate Reclassifications (RECLASS) and Provider Type in the Inpatient Prospective Payment System (IPPS) Final Rule Sep 11, 2025
IDM Login Issues and System Access Sep 11, 2025
Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) Final LCD - Effective October 26, 2025 Sep 11, 2025
National Fee Schedule for Vaccine Administration: October 2025 Update CR14195 Sep 11, 2025
MLN Connects - September 11, 2025 Sep 11, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R29 - Effective October 1, 2025 Sep 11, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective September 11, 2025 Sep 11, 2025
Facet Joint Interventions for Pain Management -On-Demand Tutorials Available Sep 09, 2025
CAH Claims Receiving Reason Code 31006 or 31007 in Error - Resolved 09/09/25 Alert Sep 09, 2025
Implementing the TEAM: Skilled Nursing Facility 3-Day Rule Waiver CR14098 Sep 04, 2025
Billing and Coding: MolDX: Germline testing for use of PARP inhibitors (A55294) - R12 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) - R9 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R13 - Effective October 1, 2025 Sep 04, 2025
MLN Connects - September 4, 2025 Sep 04, 2025
Pumpkin-Spiced Precision: A Seasonal Guide to Opioid Treatment Program (OTP) Coverage & Billing Webinar - 10/16/2025 Sep 04, 2025
Celebrate Solstice with Outpatient Therapy Webinar - 10/16/2025 Sep 04, 2025
Fall in NMP Eligibility Webinar - 10/16/2025 Sep 03, 2025
Claiming the Harvest: Strategies for Overlapping Scenarios Webinar - 10/15/2025 Sep 03, 2025
Reap a Bountiful Harvest of DME Documentation Requirements Webinar - 10/15/2025 Sep 03, 2025
Holding Claims for Pricing Based on the October 2025 FISS Release Sep 03, 2025
NCD 20.38: Transcatheter Edge-to-Edge Repair for T-TEER CR14200 Aug 28, 2025
ICD-10 & Other Coding Revisions to National Coverage Determinations: January 2026 Update (2 of 2) - Revised CR14194 Aug 28, 2025
ICD-10 & Other Coding Revisions to NCDs: January 2026 Update (1 of 2) CR14197 Aug 28, 2025
Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment (A57037) - R7 - Effective October 1, 2025 Aug 28, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R27 - Effective October 1, 2025 Aug 28, 2025
MolDX Open Public Meeting Announcement Multiple LCDs - October 8, 2025 Aug 28, 2025
Proposed LCDs - Published for Review and Comments Aug 28, 2025