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
Expedited Implementation of January 2026 NCCI PTP Edits for COVID Vaccine Administration Nov 21, 2025
MLN Connects Special Edition: Claims Processing Update | ESRD Final Payment Rule - November 21, 2025 Nov 21, 2025
A/B/DME Collaborative Parenteral Nutrition Webinar Webinar - 12/09/2025 Nov 21, 2025
DMEPOS Fee Schedule: October 2025 Quarterly Update - Revised CR14214 Nov 20, 2025
New Waived Tests CR14273 Nov 20, 2025
Hospital OPPS: October 2025 Update CR14223 Nov 20, 2025
ASC Payment System: October 2025 Update CR14246 Nov 20, 2025
MLN Connects - November 20, 2025 Nov 20, 2025
Billing and Coding: B-type Natriuretic Peptide (BNP) Testing (A57083)- R4 - Effective October 01, 2022 Nov 20, 2025
B-type Natriuretic Peptide (BNP) Testing (L35526) - R12 - Effective October 01, 2019 Nov 20, 2025
Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (A59835) - R1 - Effective August 17, 2025 Nov 20, 2025
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57891) - R9 - Effective February 10, 2020 Nov 20, 2025
Billing and Coding: Routine Foot Care (A57954) - R20 - Effective October 1, 2025 Nov 20, 2025
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) (L34228) - R13 - Effective November 20, 2025 Nov 20, 2025
CWF Errors Leading to Claim Denials Related to Medicare Advantage (MA) Plan Enrollment Nov 19, 2025
2026 Medicare Physician Fee Schedule Available Soon Nov 14, 2025
MLN Connects Special Edition: Medicare Participation Announcement for CY 2026: Decide by December 31 Nov 14, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57384) - R18 - Effective September 2, 2025 Nov 13, 2025
A/B MACs to Return Certain Telehealth and Acute Hospital Care at Home (AHCAH) Claims to Providers Nov 12, 2025
Medicare Reassignments: Understanding Their Importance Webinar - 12/02/2025 Nov 12, 2025
MLN Connects Special Edition: Update on Processing of Telehealth and Acute Hospital Care at Home Claims - November 7, 2025 Nov 07, 2025
Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease (A58095) - R4 - Effective January 01, 2024 Nov 06, 2025
Intraosseous Basivertebral Nerve Ablation (L39642) - R1 - Effective January 28, 2024 Nov 06, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R31 - Effective October 1, 2025 Nov 06, 2025
Policy Revision(s) for Multiple Billing and Coding Articles - Effective November 6, 2025 Nov 06, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective November 6, 2025 Nov 06, 2025
DMEPOS Fee Schedules and Labor Payment - 4th Quarter 2025 Updates Nov 04, 2025
MLN Connects - November 3, 2025 Nov 03, 2025
LCD Transurethral Waterjet Ablation of the Prostate - Effective December 14, 2025 Oct 30, 2025
Chest X-Ray L37547 - R5 - Effective November 01, 2019 Oct 30, 2025
Billing and Coding: Routine Foot Care (A57954) - R18 - Effective October 1, 2025 Oct 30, 2025
Botulinum Toxins Type A and B Policy (L35170) - R15 - Effective October 1, 2019 Oct 30, 2025
Billing and Coding: Botulinum Toxins Type A and B Policy (A57185) - R10 - Effective October 1, 2025 Oct 30, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R30 - Effective October 1, 2025 Oct 30, 2025
Top Denials and Solutions – Q4 Webinar - 12/18/2025 Oct 29, 2025
Home Infusion Therapy (HIT) Webinar - 12/16/2025 Oct 29, 2025
PECOS Application Final Steps Webinar - 12/03/2025 Oct 29, 2025
Provider Enrollment Rebuttals, Reconsiderations, and Corrective Action Plan (CAP) Webinar - 12/17/2025 Oct 29, 2025
Noridian Provider Enrollment Website Tour Webinar - 12/10/2025 Oct 29, 2025
DMEPOS Fee Schedules and Labor Payment - 4th quarter 2025 update Oct 29, 2025
CERT Review Contractor Phone Number Misidentified as Spam Oct 29, 2025
Wound and Skin Debridement - On-Demand Webinar Available Oct 28, 2025
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
Physician Assistants Enrolling in Medicare 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
COVID-19 Vaccine Fee Update Mass Adjustment - Resolved 10/22/25 Alert Oct 22, 2025
Telehealth - Effective October 1, 2025 Oct 22, 2025
MLN Connects Special Edition: Claims Hold Update - October 21, 2025 Oct 21, 2025
Medicare B 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
Drugs and Biologicals Outpatient Documentation and Post-Pay Review Webinar - 11/25/2025 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
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
MLN Connects - October 1, 2025 Oct 01, 2025
Ambulatory Surgical Center Prior Authorization Webinar - 10/08/2025 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
How to Register Your Molecular Diagnostics (MolDX) Test - On-Demand Tutorials Available Jun 30, 2025
Updated Noridian On-Demand Tutorials Available Jun 11, 2025