Facility Archives

FY 2027 ICD-10-PCS Has Arrived

By Renee Dustman

In Billing

Jun 11th, 2026

No Comments

The Center for Medicare & Medicaid Services (CMS) released the ICD-10-PCS data set for fiscal year (FY) 2027. The update goes into effect Oct. 1, 2026. There are 101 new codes, three revised codes, and 38 deleted codes for inpatient coders to familiarize themselves with. New Technology There are 50 added codes in the New ...

CMS Posts Q3 NCCI Edit Files

By Renee Dustman

In Billing

Jun 1st, 2026

No Comments

The latest National Correct Coding Initiative (NCCI) edit files are now available on the Centers for Medicare & Medicaid Services’ (CMS’) website. Don’t let changes to Medicare hospital and practitioner procedure-to-procedure (PTP) code edits derail claims payment — learn of the latest additions, deletions, and modifier indicator changes to PTP edits for practitioners and hospital ...

CMS Updates HCPCS Level II Code Set

By Renee Dustman

In Billing

May 28th, 2026

1 Comment

Changes to service and supply codes go into effect Q3. The Centers for Medicare & Medicaid Services (CMS) published on May 21 an anticipated quarterly update to the HCPCS Level II code set. Of note, 39 new codes are being added. There are also several codes with descriptor changes, payment changes, and a few corrections. ...

New Codes Describe TOFIDENCE for COVID-19 Hospital Treatment

By Renee Dustman

In Billing

May 1st, 2026

No Comments

The Centers for Medicare & Medicaid Services (CMS) has established one new billing code to describe TOFIDENCE (tocilizumab-bavi) when used to treat COVID-19 in hospitalized adults and two new administration codes. The new codes are effective July 1, 2026. Indications for Use TOFIDENCE — a biosimilar to ACTEMRA® (tocilizumab) — was approved in 2024 by ...

CMS Updates Hospital Price Transparency FAQ

By Renee Dustman

In Billing

Apr 24th, 2026

No Comments

On March 24, 2026, the Centers for Medicare & Medicaid Services (CMS) issued an updated frequently asked questions (FAQ) document regarding hospital price transparency. The document includes new and updated information about the latest requirements for hospital price transparency that were finalized in the calendar year 2026 Outpatient Prospective Payment System and Ambulatory Surgical Center ...