Laboratory National Coverage Determination Edit Software: January 2026 Update

Related CR Release Date: December 17, 2025
MLN Matters Number: MM14226
Effective Date: January 1, 2026, unless noted otherwise in requirements
Related Change Request (CR) Number: CR 14226
Implementation Date: January 5, 2026 
Related CR Transmittal Number: R13404CP

CR 14226 announces the changes that will be included in the January 2026 quarterly release of the edit module for clinical diagnostic laboratory services. This Recurring Update Notification applies to Chapter 16, Section 120.2, Publication 100-04.

Make sure your billing staff knows about National Coverage Determinations (NCDs) with added ICD-10-CM codes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14226.

Last Updated Jan 08 , 2026