Number: 14483 
Release Date: May 28, 2026
Effective Date: July 1, 2026 
Implementation Date: July 6, 2026
Transmittal Number: R13770CP

CR 14483 tells you about:

• Adding and removing certain renal dialysis items and services
• Updating the average unit cost for renal dialysis drugs that are oral equivalents to injectable drugs
• Revising the average dispensing fee of the National Drug Codes (NDCs) qualifying for outlier payment to $0.47 per month

Make sure your billing staff know about changes to the outlier services list under the ESRD Prospective Payment System (PPS) starting July 1, 2026.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14483.