Latest Updates

Articles posted in the "Latest Updates" are compiled and published into a bulletin quarterly.

Previously published articles are available within the Noridian Bulletins webpage. Exclusions to this include time-sensitive announcements such as: Noridian and CMS educational Events, Ask-the-Contractor Teleconferences, and claims processing downtime.

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Articles Source Posted
Billing and Coding: Total Knee Arthroplasty (A57685)- R2 - Effective December 1, 2019 Oct 23, 2025
ICD-10 Billing and Coding Article Updates - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: Cataract Surgery in Adults (A57195) - R9 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing (A57268) - R4 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Proteomics Testing (A59641) - R11 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R18 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R25 - Effective October 1, 2025 Oct 23, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective October 23, 2025 Oct 23, 2025
MLN Connects Special Edition: Claims Hold Update - October 21, 2025 Oct 21, 2025
Medicare A News JE October 2025 Bulletin - Now Available Oct 20, 2025
Billing and Coding: Wound Care and Debridement - Provided by a Therapist, Physician, NPP or as Incident-to Services (A53296) - R7 - Effective October 01, 2015 Oct 16, 2025
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
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
Skilled Nursing Facility (SNF) 101 and 102 - On-Demand Webinars Available Sep 23, 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
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
Facet Joint Interventions for Pain Management -On-Demand Tutorials Available Sep 09, 2025
Holding Claims for Pricing Based on the October 2025 FISS Release Sep 03, 2025
Chemotherapy Administration Part A - Webinar on Demand Recording Available Jul 07, 2025
How to Register Your Molecular Diagnostics (MolDX) Test - On-Demand Tutorials Available Jun 30, 2025
Updated Noridian On-Demand Tutorials Available Jun 11, 2025
Mandatory SNF Off-Cycle Revalidation EXTENDED to January 1, 2026 May 01, 2025