Transmittals

Cardiac Contractility Modulation (CCM) for Heart Failure (HF)

Creation of the 'PROVIDER-TERMINATED' Status at the Provider/Customer Level on the Healthcare Integrated General Ledger Accounting System (HIGLAS) Customer Status History Form

Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Section 170.1 and Chapter 32, sections 330.1 and 330.2 for Updates in Change Request (CR) 14356 - International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026

April 2026 Integrated Outpatient Code Editor (I/OCE) Specifications Version 27.1

Medicare Administrative Contractors (MACs) Part B, the Multi- Carrier System (MCS) and Durable Medicare Equipment (DME) MACs Updates on Processing Medicare Secondary Payer (MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs)

Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare-Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) Provided by the Consolidated Appropriations Act, 2026

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Section 10.1 Incorporating Manual Updates from Change Request (CR) 11650 - National Coverage Determination (NCD) 20.19 Ambulatory Blood Pressure Monitoring (ABPM) and CR 12376 – Revisions to Chapters 13, 18 and 32 To Update Coding

April 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS)

This purpose of this Change Request (CR) is to establish a quarterly recurring update, provide instructions for MCS system changes required to automate the AOC File retrieval as well as establish standardized MCS auditing for claims processing.

April Quarterly Update for 2026 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

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

Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Sections 210- 210.4 in Reference to Change Request (CR) 14388 “Billing Code Clarification for National Coverage Determination (NCD) 210.13 Screening for Hepatitis C Virus (HCV) in Adults”

Claims Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), Medicare Remit Easy Print (MREP), and PC Print Update

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 32.2, Effective July 1, 2026

July 2026 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Implementation CR - Send Transplant Program Hospital Type and the New Organ Types to the Fiscal Intermediary Shared System (FISS) on Provider Enrollment Chain & Ownership System (PECOS) Extract Files and for FISS to Process so PECOS is the system of Record for the Transplant Program Hospital Type and for the Organs Type Transplanted at the Hospital

Technical Corrections to the State Operations Manual (SOM) Appendix A - Hospitals

NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension

NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18, Section 110.3.2, to Align with Medicare Preventive Services for Ultrasound Abdominal Aortic Aneurysm (AAA) Screening