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Transmittals

  • October 2026 (2027 File) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
  • The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider Statistical & Reimbursement (PS&R) System
  • Revisions to State Operations Manual (SOM), Chapter 5
  • Medicare Beneficiary Date of Death - Manual Update
  • Updates to the Internet Only Manual, Publication 100-06, Chapter 3, Overpayments, Section 140-140.8.4 - Bankruptcy
  • Quarterly Update to the End Stage Renal Disease Prospective Payment System (ESRD PPS)
  • Updates of Chapters 3, 4, and Exhibits in Publication (Pub.) 100-08, Including Updates to the Provider Notification Process and Vetting with the CMS Process
  • Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient Claims Submitted for Indirect Medical Education (IME) Payment
  • Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026
  • Update to the Internet Only Manual (IOM) Publication 100-04, Chapters 3, 13, 17, 18 and 32 for Coding Revisions to National Coverage Determination (NCDs) - January 2026 Change Requests (CRs) 14194 and 14197
  • Revisions to the State Operations Manual (SOM) Chapter 9 Exhibits.
  • Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD)
  • Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD)
  • "July 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"
  • Cardiac Contractility Modulation (CCM) for Heart Failure (HF)
  • Cardiac Contractility Modulation (CCM) for Heart Failure (HF)
  • Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Updates for Shared System Edits for Category II Codes, Care Coordination Services and Revisions to the Internet Only Manual (IOM) Publications (Pub.) 100-04, Chapter 9
  • NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension
  • NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension
  • NCD 20.38 - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER)
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