Coding Archives

Medicare Adds Coverage to Colorectal Cancer Screening NCD

By Terry Fletcher

In Billing

Sep 8th, 2026

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Effective June 8, 2026, non-invasive biomarker screening tests are a covered modality for colorectal cancer (CRC) screening under Medicare. The Centers for Medicare & Medicaid Services (CMS) updated national coverage determination (NCD) 210.3: Colorectal Cancer Screening Tests on August 27. This is both a coverage and documentation issue. A laboratory test appearing on an order ...

Why Healthcare Organizations Need CPC-M™ Coders Now

By Renee Dustman

In AAPC News

Sep 3rd, 2026

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The business of healthcare is rapidly changing, and artificial intelligence (AI) is only making things more complicated. Remember what it was like to implement electronic health records? That was cake compared to what AI will take to standardize. To navigate this next challenge, providers will need experienced coders who are ready to lead the crusade. ...

Changes to Appendix S Clarify AI Use

By Revenue Cycle Insider

In Billing

Aug 31st, 2026

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Laboratory and pathology diagnostics, processes, and valuations are not immune to artificial intelligence (AI). Upcoming modifications to CPT® AI nomenclature and proposed Medicare payment changes could impact your lab. Appendix S doesn’t contain a list of AI lab and pathology procedure codes, but it will help you understand many 80000-level and proprietary laboratory analyses (PLA) ...

AMA Revises CPT® Category III Early Release Schedule

By Renee Dustman

In Coding

Aug 25th, 2026

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The American Medical Association (AMA) has changed its early release schedule for CPT® Category III codes to three updates per year instead of two. As a result, the codes that were released in July will become effective three months earlier than usual. Here’s What You Need to Know In July, AAPC reported that the AMA ...

RPM/RTM Reimbursement Rules Could Change in 2027

By Michael Shaughnessy

In CMS

Aug 21st, 2026

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On July 16, 2026, the Centers for Medicare & Medicaid Services (CMS) published its calendar year (CY) 2027 Medicare Physician Fee Schedule (MPFS) proposed rule in the Federal Register. Among the 716 pages are significant proposed changes to remote patient monitoring policies. Revenue Cycle Insider examined the remote monitoring policy changes CMS is proposing for ...