Transmittals

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

Instructions for Downloading the Medicare ZIP Code File for January 2026 Files

The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System

Removal of Chimeric Antigen Receptor (CAR) T-cell Therapy and Risk Evaluation Mitigation Strategy (REMS) – NCD 110.24 and the “KX’ Modifier for CAR-T Cell Therapy Claims

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

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

April 2026 Bi-Annual Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

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

Calendar Year (CY) 2026 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment

Calendar Year (CY) 2026 Home Infusion Therapy (HIT) Services Payment Rates and Instructions for Retrieving the January 2026 Home Infusion Therapy (HIT) Services Payment Rates Through the CMS Mainframe Telecommunications System

Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Periodic Interim Payment (PIP) Facilities

Implementation of the Award for the Jurisdiction F (J-F) Part A and Part B Medicare Administrative Contractor (JF A/B MAC)

Edit to Prevent Overpayment of Long-term Stay in Hospice

April 2026 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Update to Claims Processing Instructions for National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update