Transmittals

Updates to Chapter 3, Chapter 4, and Chapter 5 in Publication (Pub.) 100-15, Including Updates to the Vetting Process and the Creating Overpayment Records Process

Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner for Recertification via Telecommunications Technology on Hospice Claims, effective January 1, 2027

October 2026 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026

NCD 210.3 Screening for Colorectal Cancer-Non-Invasive Biomarker Tests

NCD 210.3 Screening for Colorectal Cancer-Non-Invasive Biomarker Tests

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2026 Update

Annual Clotting Factor Furnishing Fee Update 2027

Instructions for Downloading the Healthcare Common Procedure Coding System (HCPCS) Files for the January, April, July and October 2027 Quarterly Releases

Updates to Chapter One of the Medicare Claims Processing Manual (Publication (Pub.) 100-04) to Include Newly Created and Utilized Payer Only Codes

October 2026 Quarterly Update to the Clinical Laboratory Fee Schedule (CLFS) and Clinical Laboratory Improvement Amendments (CLIA): Healthcare Common Procedure Coding System (HCPCS) Codes, Waived Tests, and Reasonable Charge Payments

A/B Medicare Administrative Contractors (MACs) Part A and the Fiscal Intermediary Shared System (FISS) to Implement and Process Medicare Secondary Payer (MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs)

A/B Medicare Administrative Contractors (MACs) Part A and the Fiscal Intermediary Shared System (FISS) to Implement and Process Medicare Secondary Payer (MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs)

October 2026 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Fiscal Intermediary Shared System (FISS) - Modify the Expert Claims Processing System (ECPS) to Process More Than 10 Medical Policy Reason Codes

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal Year (FY) 2027

Revisions to the State Operations Manual (SOM) Appendix H, End-Stage Renal Disease (ESRD) Program Interpretive Guidelines and Survey Procedures.

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 2 of 2

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- October 2026

Fiscal Year (FY) 2027 Updates for Medicare Severity Diagnosis Related Groups (MS-DRG) Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy