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: MolDX: Prometheus® IBD sgi Diagnostic® Policy (A57516) - R3 - Effective October 20, 2022 May 02, 2024
Outlier Reconciliation and CCR Updates for the IPPS and LTCH PPS - Rescinded CR13566 May 02, 2024
MLN Connects - May 2, 2024 May 02, 2024
Billing and Coding: MolDX: KIF6 Genotype (A55272) Retirement - Effective April 26, 2024 May 02, 2024
Billing and Coding: MolDX: MECP2 Genetic Testing (A55285) Retirement - Effective April 26, 2024 May 02, 2024
Billing and Coding: MolDX: CHD7 Gene Analysis (A55085) Retirement - Effective April 25, 2024 May 02, 2024
Billing and Coding: MolDX: STAT3 Gene Testing (A55480) Retirement - Effective April 24, 2024 May 02, 2024
Billing and Coding: MolDX: Know Error® (A55274) Retirement - Effective April 24, 2024 May 02, 2024
Billing and Coding: MolDX: PTCH1 Gene Testing (A55608) Retirement - Effective April 25, 2024 May 02, 2024
Multi-Jurisdictional CAC Meeting Announcement - MolDX: Biomarker Risk Stratification Testing in DCIS - July 15, 2024, 2 p.m. to 4 p.m. ET Apr 30, 2024
ACM Questions and Answers - March 20, 2024 Apr 29, 2024
Change Healthcare Security Incident - Resolved 04/24/24 Alert Apr 26, 2024
MLN Connects - April 25, 2024 Apr 26, 2024
Open Meeting Announcement Skin Substitutes Grafts/Cellular Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers - May 16, 2024 Apr 25, 2024
DMEPOS Fee Schedule: April 2024 Quarterly Update - Revised CR13574 Apr 25, 2024
National Coverage Determination 20.7: Percutaneous Transluminal Angioplasty CR13512 Apr 25, 2024
Medicare Claims Processing Manual Update: IRF CR13587 Apr 25, 2024
Billing and Coding: MolDX: ATP7B Gene Tests (A55097) Retirement - Effective April 23, 2024 Apr 25, 2024
Billing and Coding: MolDX: VEGFR2 Tests (A55468) Retirement - Effective April 23, 2024 Apr 25, 2024
Billing and Coding: MolDX: myPap™ (A55292) Retirement - Effective April 19, 2024 Apr 25, 2024
Billing and Coding: MolDX: GBA Genetic Testing (A55243) Retirement - Effective April 19, 2024 Apr 25, 2024
Billing and Coding: MolDX: BLM Gene Analysis (A55113) Retirement - Effective April 18, 2024 Apr 25, 2024
Billing and Coding: MolDX: ENG and ACVRL1 Gene Tests (A55181) Retirement - Effective April 18, 2024 Apr 25, 2024
Billing and Coding: MolDX: 4q25-AF Risk Genotype (A55090) Retirement - Effective April 16, 2024 Apr 25, 2024
Billing and Coding: MolDX: LPA-Aspirin Genotype (A55279) Retirement - Effective April 16, 2024 Apr 25, 2024
Billing and Coding: MolDX: HBB Gene Tests (A55253) Retirement - Effective April 17, 2024 Apr 25, 2024
Billing and Coding: MolDX: LPA-Intron 25 Genotype (A55281) Retirement - Effective April 17, 2024 Apr 25, 2024
Billing and Coding: Cryoneurolysis Instructions (A59752) - Effective January 1, 2024 Apr 25, 2024
Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) (A57161) - R3 - Effective October 1, 2019 Apr 25, 2024
Billing and Coding: Peripheral Nerve Stimulation (A55530) - R7 - Effective March 1, 2024 Apr 25, 2024
Billing and Coding: Trigger Point Injections (A57701) - R5 - Effective April 1, 2024 Apr 25, 2024
Billing and Coding: Wound and Ulcer Care (A58565) - R6 - Effective April 1, 2024 Apr 25, 2024
MolDX: Repeat Germline Testing (L38351) - R2 - Effective April 25, 2024 Apr 25, 2024
Strike a Chord of Learning: Access Recordings of our Spring Symposium Sessions Apr 24, 2024
Preventive Services - On-Demand Tutorials Available Apr 23, 2024
Principles of NPIs Webinar - 05/29/2024 Apr 19, 2024
Medicare A News JE April 2024 Bulletin - Now Available Apr 19, 2024
Billing and Coding: Serum Magnesium (A57189) - R8 - Effective October 1, 2023 Apr 18, 2024
MLN Connects - April 18, 2024 Apr 18, 2024
MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (L38972) - R1 - Effective April 18, 2024 Apr 18, 2024
Polysomnography and Other Sleep Studies (L36861) - R4 - Effective December 01, 2019 Apr 18, 2024
April 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13492 Apr 11, 2024
MLN Connects - April 11, 2024 Apr 11, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R17 - Effective February 29, 2024 Apr 11, 2024
Billing and Coding: MolDX: ApoE Genotype (A55094 ) - R4 - Effective April 3, 2024 Apr 11, 2024
Trigger Point Injections (TPI) (L34211) - R9 and Billing and Coding: Trigger Point Injections (TPI) (A57701) - R4 - Effective April 1, 2024 Apr 11, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R3 - Effective April 1, 2024 Apr 11, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R11 - Effective April 1, 2024 Apr 11, 2024
Preventive Services Codes on Eligibility Inquiry Apr 09, 2024
April 2024 I/OCE Specifications Version 25.1 CR13567 Apr 04, 2024
Update of Internet Only Manual (IOM), Pub. 100-04, Chapter 8 - Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims CR13525 Apr 04, 2024
Hospital Outpatient Prospective Payment System: April 2024 Update CR13568 Apr 04, 2024
MLN Connects - April 4, 2024 Apr 04, 2024
Additional 2024 CPT/HCPCS Local Coverage Article (LCA) Update Apr 04, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R17 - Effective April 1, 2024 Apr 04, 2024
Self-Administered Drug Exclusion List (A53032) - R34 - Effective April 1, 2024 Apr 04, 2024
Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268) (A57842) - R3 - Effective April 4, 2024 Apr 04, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R18 - Effective April 01, 2024 Apr 04, 2024
Ambulance Duplicate Denials - Appeals Newsletter Part 7 Apr 03, 2024
Prior Authorization Facet Joint Intervention for Pain Management - On-Demand Tutorials Available Apr 03, 2024
Preventive Services - On-Demand Tutorials Available Feb 29, 2024
Part A Facilities - On-Demand Tutorials Available Feb 22, 2024
Direct Data Entry (DDE) - On-Demand Tutorials Available Feb 22, 2024
Medical Record Requirements for Redeterminations - On-Demand Tutorials Available Feb 22, 2024
Preventive Services - On-Demand Tutorials Available Feb 05, 2024
Updated Noridian On-Demand Tutorials Available Feb 01, 2024
Hyperbaric Oxygen (HBO) Therapy -On-Demand Tutorials Available Jan 15, 2024
Electronic Funds Transfer Authorization Agreement -On-Demand Tutorials Available Jan 10, 2024
Prior Authorization for Certain Hospital Outpatient (OPD) Services: Rhinoplasty-On-Demand Tutorials Available Jan 09, 2024
Prior Authorization for Certain Hospital Outpatient (OPD) Services: Panniculectomy-On-Demand Tutorials Available Jan 09, 2024