Latest Updates

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

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Articles Source Posted
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58973) - R9 - Effective July 1, 2025 Jul 10, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R11 - Effective July 1, 2025 Jul 10, 2025
MolDX: Molecular Testing for Solid Organ Allograft Rejection (L38629) - R1 - Effective July 10, 2025 Jul 10, 2025
MLN Connects - July 10, 2025 Jul 10, 2025
Fiscal Intermediary Shared System (FISS) Changes to Automate the Application of Condition Code ZC for CAR T-Cell and Other Immunotherapy Cases Involving a Clinical Trial of a Different Product CR13926 Jul 08, 2025
Chemotherapy Administration Part A - Webinar on Demand Recording Available Jul 07, 2025
Alert: Medicare Fraud Scheme Involving Phishing Fax Requests Jul 07, 2025
CERT Awareness Month: 2025 CERT Documentation Deadline Jul 07, 2025
Hospital OPPS: July 2025 Update CR14091 Jul 03, 2025
Inpatient Rehabilitation Facility PPS: FY 2026 Pricer Update CR14132 Jul 03, 2025
Billing and Coding Investigational Device Exemptions (IDE) - IDE Documentation Requirements for Studies with an FDA Approval dated January 01, 2015, or later (A54919) - R8 - Effective October 1, 2015 Jul 03, 2025
MLN Connects - July 3, 2025 Jul 03, 2025
2025 Q3 MolDX CPT/HCPCS Billing and Coding Article Updates - Effective July 1, 2025 Jul 03, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R26 - Effective July 1, 2025 Jul 03, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57384) - R16 - Effective July 1, 2025 Jul 03, 2025
MolDX: Breast Cancer Index (BCI) Gene Expression Test (L37822) - R5 - Effective July 3, 2025 Jul 03, 2025
MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (L39005) - R2 - Effective July 3, 2025 Jul 03, 2025
MolDX: Pharmacogenomics Testing (L38335) - R2 - Effective July 3, 2025 Jul 03, 2025
MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells (L38643) - R2 - Effective July 3, 2025 Jul 03, 2025
MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer (L38327) - R3 - Effective July 3, 2025 Jul 03, 2025
MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer (L38647) - R2 - Effective July 3, 2025 Jul 03, 2025
MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease (L38339) - R3 - Effective July 3, 2025 Jul 03, 2025
MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (L39001) - R4 - Effective July 3, 2025 Jul 03, 2025
MolDX Local Coverage Determinations (LCDs) Finalized - Effective August 17, 2025 Jul 03, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R21 - Effective July 1, 2025 Jul 03, 2025
Recovery Audit Contract Announcement Jul 02, 2025
How to Register Your Molecular Diagnostics (MolDX) Test - On-Demand Tutorials Available Jun 30, 2025
Holding Claims for Pricing Based on the July 2025 FISS Release Jun 27, 2025
Clarification for Interdisciplinary Team Meetings (IDT) for Inpatient Rehabilitation Facility (IRF) Services Jun 26, 2025
DMEPOS Fee Schedule: July 2025 Quarterly Update CR14088 Jun 26, 2025
Clinicians - Are You Ordering Urological Supplies for Your Patients Jun 26, 2025
MLN Connects - June 26, 2025 Jun 26, 2025
Self-Administered Drug Exclusion List (A53032) - R42 - Effective July 1, 2025 Jun 26, 2025
2025 CPT/HCPCS Billing and Coding Article Updates - Effective July 1, 2025 Jun 26, 2025
Billing and Coding: MolDX: Immunohistochemistry (IHC) Indications for Breast Pathology (A57523) Retirement - Effective June 26, 2025 Jun 26, 2025
Billing and Coding: Peripheral Nerve Stimulation (A55530) - R11 - Effective June 26, 2025 Jun 26, 2025
MolDX: Melanoma Risk Stratification Molecular Testing (L37750) - R7 - Effective June 26, 2025 Jun 26, 2025
Enrollment Changes and Revalidations Webinar - 08/13/2025 Jun 25, 2025
Inpatient Prospective Payment System (IPPS) Webinar - 08/14/2025 Jun 25, 2025
National Correct Code Initiative (NCCI) Webinar - 08/12/2025 Jun 25, 2025
Recovery Audit Program and Recovery Audit Contractor (RAC) Webinar - 07/31/2025 Jun 19, 2025
Billing and Coding: Epidural Steroid Injections for Pain Management (A58993) - R5 - Effective November 15, 2023 Jun 19, 2025
Updates to CRC Screening & Hepatitis B Vaccine Policies CR14031 Jun 18, 2025
MLN Connects - June 18, 2025 Jun 18, 2025
Skilled Nursing Facility (SNF) 102 Webinar - 07/23/2025 Jun 17, 2025
5 Levels of Appeals Webinar - 07/15/2025 Jun 17, 2025
PECOS Application Final Steps Webinar - 07/23/2025 Jun 17, 2025
PECOS Application Data Entry Webinar - 07/16/2025 Jun 17, 2025
ICD-10 & Other Coding Revisions to National Coverage Determinations: October 2025 Update CR14041 Jun 12, 2025
ESRD PPS: July 2025 Update CR14089 Jun 12, 2025