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: Computed Tomography Cerebral Perfusion Analysis (CTP) (A58223) - R5 - Effective January 1, 2026 Jan 15, 2026
MLN Connects - January 15, 2026 Jan 15, 2026
Travel Allowance Fees for Specimen Collection: CY 2026 Updates CR14345 Jan 15, 2026
Allergy Diagnostic Testing LCD - Published for Review and Comments Jan 15, 2026
Open Public Meeting Announcement Allergy Diagnostic Testing - February 12, 2026 Jan 15, 2026
Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) Final LCD - Effective March 1, 2026 Jan 15, 2026
Part B Ask the Contractor Meeting (ACM) - Special AZ ASC Prior Auth Q/A Webinar - 03/12/2026 Jan 13, 2026
Part B Ask the Contractor Meeting (ACM) Webinar - 04/08/2026 Jan 13, 2026
Telehealth and Virtual Services Webinar - 02/03/2026 Jan 13, 2026
Electronic Funds Transfer Authorization Agreements Webinar - 02/25/2026 Jan 13, 2026
Ambulatory Surgical Center (ASC) Medicare Enrollment Webinar - 02/11/2026 Jan 13, 2026
End-Stage Renal Disease (ESRD) Webinar - 02/17/2026 Jan 13, 2026
Appeals Basics Webinar - 02/19/2026 Jan 13, 2026
ACM B Questions and Answers - December 3, 2025 Jan 12, 2026
Bone Mass Measurement Tutorial Jan 09, 2026
Clinical Lab Claims Denied in Error - Resolved 01/08/26 Alert Jan 08, 2026
Laboratory National Coverage Determination Edit Software: January 2026 Update CR14226 Jan 08, 2026
National Coverage Determination 20.40: RDN for Uncontrolled Hypertension CR14302 Jan 08, 2026
DMEPOS Fee Schedule: CY 2026 Update CR14326 Jan 08, 2026
CCM for Heart Failure CR14311 Jan 08, 2026
Botulinum Toxin Injections Final LCD - Effective February 22, 2026 Jan 08, 2026
MLN Connects - January 8, 2026 Jan 08, 2026
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R24 - Effective January 1, 2026 Jan 08, 2026
Noridian's Hyperbaric Oxygen (HBO) Therapy Documentation Checklist Jan 07, 2026
Washington Severe Storms Public Health Emergency: CMS Response Jan 07, 2026
Alert: Fraudulent Correspondence Targeting Medicare Providers Jan 06, 2026
Introducing the Noridian Educational Experience (NEE) Jan 06, 2026
Self-Administered Drug Exclusion List (A53033) - R45 - Effective January 1, 2026 Jan 02, 2026
2026 CPT/HCPCS Billing and Coding Article Updates - Effective January 1, 2026 Jan 02, 2026
Remote Physiologic Monitoring (RPM): 2026 Evaluation and Management (E/M) Updates Dec 26, 2025
End Stage Renal Disease (ESRD) - Webinar On Demand Recording Available Dec 26, 2025
Billing and Coding: MRI and CT scans of Head and Neck (A57204) - R15 - Effective October 01, 2025 Dec 26, 2025
CWF Errors Leading to Claim Denials Related to Medicare Advantage (MA) Plan Enrollment - Resolved 12/12/2025 Alert Dec 19, 2025
ICD-10 & Other Coding Revisions to NCDs: April 2026 Update CR14263 Dec 18, 2025
CAR T-Cell Therapy Claims: End of REMS & KX Modifier Requirement CR14204 Dec 18, 2025
Adding EV Defibrillator Codes to NCD 20.4: ICDs CR14253 Dec 18, 2025
2026 Medicare Physician Fee Schedule Now Available Dec 18, 2025
MLN Connects - December 18, 2025 Dec 18, 2025
Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea (A57948) - R8 - Effective December 8, 2025 Dec 18, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R15 - Effective Multiple Dates, 2025 Dec 18, 2025
Annual Medicare Participation Announcement Dec 16, 2025
Ketamine Monitoring Billed Incorrectly with Prolonged Service Dec 16, 2025
2026 Medicare Allowances for Portable X-Ray Transportation Codes Dec 15, 2025
Notification of the 2026 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review Dec 12, 2025
Medicare Physician Fee Schedule Final Rule Summary: CY 2026 CR14315 Dec 11, 2025
Medicare Deductible, Coinsurance & Premium Rates: CY 2026 Update CR14279 Dec 11, 2025
CLFS 2026 Annual Update CR14312 Dec 11, 2025
MLN Connects - December 11, 2025 Dec 11, 2025
Medicare Secondary Payer (MSP) Billing Webinar - 01/20/2026 Dec 10, 2025
Documentation Requirements Webinar - 01/29/2026 Dec 10, 2025
Enrollment Address Changes Dec 09, 2025
Harvesting Relief - Facet Joint Intervention for Pain Management - On-Demand Webinar Available Dec 09, 2025
Inappropriate Anesthesia Services Billed During Spinal Pain Procedures Dec 08, 2025
Delayed: Prior Authorization Demonstration for Certain ASC Services Dec 04, 2025
Therapy Code List: 2026 Annual Update CR14250 Dec 04, 2025
MLN Connects - December 4, 2025 Dec 04, 2025
MLN Connects Special Edition: 2026 Medicare Participation Announcement | Home Health Final Rule - December 3, 2025 Dec 03, 2025
Hyperbaric Oxygen Therapy (HBO) for Compromised Skin Grafts Dec 01, 2025
Outpatient Services for Hospice Patients: New Edit CR14219 Dec 01, 2025
MLN Connects - November 26, 2025 Dec 01, 2025
MLN Connects Special Edition: OPPS/ASC Final Payment Rule - November 24, 2025 Nov 24, 2025
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
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
B-type Natriuretic Peptide (BNP) Testing (L34038) - R8 - 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 (A59837) - 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 (A57892) - 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
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 (A57385) - 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 (A58097) - R4 - Effective January 01, 2024 Nov 06, 2025
Intraosseous Basivertebral Nerve Ablation (L39644) - R1 - Effective January 28, 2024 Nov 06, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R31 - Effective October 1, 2025 Nov 06, 2025
Multiple Billing and Coding Articles Retirement - Effective November 6, 2025 Nov 06, 2025
Multiple LCDs and Billing and Coding Articles Retirement - 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
Nerve Blockade for Treatment of Chronic Pain and Neuropathy L35457 - R19 - Effective 12/01/2019 Oct 30, 2025
LCD Transurethral Waterjet Ablation of the Prostate - Effective December 14, 2025 Oct 30, 2025
Chest X-Ray L37549 - R5 - Effective November 01, 2019 Oct 30, 2025
Billing and Coding: Botulinum Toxins Type A and B (A57186) - R10 - Effective October 1, 2025 Oct 30, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R30 - Effective October 1, 2025 Oct 30, 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 (A57686)- 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: MolDX: Minimal Residual Disease Testing for Solid Tumors (A58456) - R14 - Effective October 1, 2025 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 (A57290) - R4 - Effective October 1, 2025 Oct 23, 2025
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