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Transmittals

  • Editing for Hospital Services Provided to Hospice Enrollees
  • January 2026 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount
  • April 2026 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Calendar Year 2026 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Cardiac Contractility Modulation (CCM) for Heart Failure (HF)
  • Cardiac Contractility Modulation (CCM) for Heart Failure (HF)
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 32.1, Effective April 1, 2026
  • January 2026 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount\
  • National Fee Schedule for Vaccine Administration Quarterly Update - January 2026
  • Updates to the Internet Only Manual (IOM) Publication 100-04, Chapter 32, Sections 69.1, 69.6 and 69.9 to Clarify Requirements for Clinical Trial Services
  • Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Sections 150.1, 150.2.1, 150.3 and Chapter 32, Sections 12.1, 12.3, 320.3.3, 400.2.2, 400.2.3 and 400.2.3.1 for Coding Revisions to National Coverage Determination (NCDs) - October 2025 Change Request (CR) 14041
  • Revisions to Publication 100-04, Medicare Claims Processing Manual, Chapters 9, 18, and Publication 100-02, Medicare Benefit Policy Manual, Chapter 13 To Include Updated Information
  • The purpose of this Change Request (CR) is to update Publication 100-04, Medicare Claims Processing Manual, Chapter 9, 18, and Publication 100-02, Medicare Benefit Policy Manual, Chapter 13, to align with the current policy.
  • 2026 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2026
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 32.0, Effective January 1, 2026.
  • NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension
  • NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension
  • Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility Services (IRFs)
  • Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2026
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