April 2026

A listing of the individual articles included in the Jurisdiction F Medicare A News bulletin dated April 2026 is provided. Each article title functions as a hyperlink to a specific article.

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Articles Source
2026 Annual Quarter One MolDX CPT/HCPCS Billing and Coding Article Updates - Effective January 1, 2026
2026 CPT/HCPCS Billing and Coding Article Updates - Effective January 1, 2026
Advance Beneficiary Notice of Noncoverage (ABN) Form Expiring 01/31/2026
AKI & ESRD Billing: Ending the AX Modifier Requirement CR14354
Alert: Fraudulent Correspondence Targeting Medicare Providers
Allergy Diagnostic Testing LCD - Published for Review and Comments
Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin (L39398) - R1 - Effective March 5, 2023
Billing and Coding Nusinersen, (brand name SPINRAZA®)
Billing and Coding: Botulinum Toxin Injections (A57186) - R12 - Effective March 5, 2026
Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) (A58223) - R5 - Effective January 1, 2026
Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) (A58223) - R6 - Effective January 1, 2026
Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) (A58223) - R7 - Effective January 1, 2026
Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea (A57948) - R10 - Effective January 1, 2026
Billing and Coding: Immune Globulin Intravenous (IVIg) (A57194) - R12 - Effective January 22, 2026
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R24 - Effective January 1, 2026
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58681) - R10 - Effective Multiple Dates
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R17 - Effective March 12, 2026
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R16 - Effective Multiple Dates
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R26 - Effective Multiple Dates
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R34 - Effective March 19, 2026
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R32 - Effective Multiple dates
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57892) - R10 - Effective September 19, 2024
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57892) - R11 - Effective May 17, 2020
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R19 - Effective July 2, 2024
Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy (A56034) - R11 - Effective March 5, 2026
Billing and Coding: Respiratory Care (A57224) - R21 - Effective January 1, 2026
Billing and Coding: Spinraza® (nusinersen) (A58578) Retirement - Effective January 2, 2025
Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) (A60181) - R1 - Effective March 1, 2026
Billing and Coding: Transurethral Waterjet Ablation of the Prostate (A58229) - R4 - Effective January 1, 2026
Billing and Coding: Wound and Ulcer Care (A58565) - R11 - Effective January 1, 2026
Billing and Coding: Wound and Ulcer Care (A58565) - R12 - Effective October 1, 2025
Billing and Coding: Wound and Ulcer Care (A58565) - R13 - Effective October 1, 2025
Bone Mass Measurement Tutorial
Botulinum Toxin Injections Final LCD - Effective February 22, 2026
CAR T-Cell Therapy Billing Instructions: Medicare Claims Processing Manual Update CR14247
CLFS & Laboratory Services Subject to Reasonable Charge Payment: April 2026 Update CR14371
CMS Releases Updated Advance Beneficiary Notice of Non-coverage (ABN)
Correct Use of Laterality Modifiers
Critical Access Hospital (CAH) Method II Billing and Reassignments
Diagnostic and Therapeutic Colonoscopy (L34213) - R16 - Effective November 6, 2025
DMEPOS Fee Schedule: CY 2026 Update CR14326
Ensuring Medical Necessity: Documentation Best Practices for Facet Injections
ESRD & AKI Dialysis: CY 2026 Update CR14313
Friendlier, Clearer Account Activity Reminders for NMP
Healthcare Common Procedure Coding System (HCPCS) Level II Code Compliance Guidance
Hospital Outpatient Prospective Payment System: January 2026 Update CR14361
Hospital Specific Amount (HSP) Updates and FISS Reprocessing Notice
ICD-10 & Other Coding Revisions to National Coverage Determinations: July 2026 Update CR14356
ICD-10 & Other Coding Revisions to NCDs: April 2026 Update - Revised CR14263
Immune Globulin Intravenous (IVIg) (L34074) - R12 - Effective February 1, 2020