National Coverage Determination 20.40: RDN for Uncontrolled Hypertension - Revised

Number: 14302 Revised???????
Revised Release Date: January 30, 2026
Effective Date: October 28, 2025 
Implementation Date: April 6, 2026
Transmittal Numbers: R13522CP, R13522NCD, R13612CP & R13612NCD

What’s Changed? CMS added claims processing instructions for outpatient type of bill 13x and allowable place of service codes 19 and 22 for professional claims, and CMS specified you may only use CPT code 0935T for professional claims. CMS also updated the CR release date, transmittal numbers, and transmittal links. Substantive content changes are in dark red (pages 3 and 4).

CR 14302 tells you about:

  • Criteria
  • Coverage with evidence development (CED) study criteria
  • Claims processing requirements

Make sure your billing staff knows about national coverage for renal denervation (RDN).

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14302.

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