January 2026

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

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Articles Source
2025 ICD-10 Billing and Coding Article Updates - Effective October 1, 2025
A/B MACs to Return Certain Telehealth and Acute Hospital Care at Home (AHCAH) Claims to Providers
Adding EV Defibrillator Codes to NCD 20.4: ICDs CR14253
Alert: Fraudulent Correspondence Targeting Medicare Providers
B-type Natriuretic Peptide (BNP) Testing (L34038) - R8 - Effective October 01, 2019
BDX-XL2 (L37062) - R4 - Effective April 28, 2022
Billing and Coding: Botulinum Toxins Type A and B (A57186) - R10 - Effective October 1, 2025
Billing and Coding: Cataract Surgery in Adults (A57195) - R9 - Effective October 1, 2025
Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea (A57948) - R8 - Effective December 8, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R22 - Effective October 1, 2025
Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (A57424) - R5 - Effective November 7, 2024
Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing (A57290) - R4 - Effective October 1, 2025
Billing and Coding: MolDX: MGMT Promoter Methylation Analysis (A57433) - R3 - Effective October 14, 2021
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R15 - Effective Multiple Dates, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumors (A58456) - R14 - Effective October 1, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R25 - Effective October 1, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R30 - Effective October 1, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R31 - Effective October 1, 2025
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57892) - R9 - Effective February 10, 2020
Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (A59837) - R1 - Effective August 17, 2025
Billing and Coding: MolDX: Oncotype DX Breast Cancer Assay (A54482) - R5 - Effective November 1, 2019
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R17 - Effective July 3, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R18 - Effective September 2, 2025
Billing and Coding: MolDX: Proteomics Testing (A59642) - R11 - Effective October 1, 2025
Billing and Coding: MolDX: Repeat Germline Testing (A57332) - R18 - Effective October 1, 2025
Billing and Coding: MRI and CT scans of Head and Neck (A57204) - R15 - Effective October 01, 2025
Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease (A58097) - R4 - Effective January 01, 2024
Billing and Coding: Routine Foot Care (A57954) - R20 - Effective October 1, 2025
Billing and Coding: Routine Foot Care (A57957) - R16 - Effective October 1, 2025
Billing and Coding: Total Knee Arthroplasty (A57686)- R2 - Effective December 1, 2019
Billing and Coding: Zika Virus Testing by PCR and ELISA Methods (A55327) - R12 - Effective October 01, 2022
CAR T-Cell Therapy Claims: End of REMS & KX Modifier Requirement CR14204
CERT Review Contractor Phone Number Misidentified as Spam
Chest X-Ray L37549 - R5 - Effective November 01, 2019
Claims for RHC and FQHC visits at Skilled Nursing Facilities (SNFs) inappropriately rejected with Common Working File (CWF) edit C7252
CLFS 2026 Annual Update CR14312
Continuation of System Changes to Automate Processing of Inpatient Claims for Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapy Cases
CWF Errors Leading to Claim Denials Related to Medicare Advantage (MA) Plan Enrollment - Resolved 12/18/25
DMEPOS Fee Schedule: October 2025 Quarterly Update - Revised CR14214
FQHC & IOP Payment Rates: CY 2026 Update CR14309
Holding Claims for Pricing Based on the January 2026 FISS Release
Hospital OPPS: October 2025 Update CR14223
Hyperbaric Oxygen Therapy (HBO) for Compromised Skin Grafts
ICD-10 & Other Coding Revisions to NCDs: April 2026 Update CR14263
ICD-10 Billing and Coding Article Updates - Effective October 1, 2025
Implementing the Transforming Episode Accountability Model: Telehealth Waiver CR14215
Information for Critical Access Hospitals
Inpatient Rehabilitation Facility (IRF) Documentation
Intraosseous Basivertebral Nerve Ablation (L39644) - R1 - Effective January 28, 2024
Introducing the Noridian Educational Experience (NEE)