Transmittals

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

Summary of Policies in the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, Computed Tomograph (CT) Modifier Reduction List, and Preventive Services List

National Correct Coding Initiative (NCCI) New/Updated Add-On Code (AOC) Edit File Format and Creation of an AOC File Retrieval Process in the Multi-Carrier System (MCS) – Implementation

Calendar Year (CY) 2026 Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) and Payment Rates for Intensive Outpatient Program (IOP) Services for FQHCs

Calendar Year (CY) 2026 Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for CY 2026 and Payment Rates for Intensive Outpatient Program (IOP) Services for RHCs

Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2026

Manual Updates Adding Language to the Timing and Content of Certification and Revocation and Discharge Guidance

Editing for Duplicate Processing for Practitioner Professional Services and Critical Access Hospital (CAH) Professional Services

Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient Claims Submitted for Indirect Medical Education (IME) Payment

Update to the List of Advanced Life Support, Level 2 (ALS2) Procedures in Chapter 10, Ambulance Services, Section 30.1.1, Definition of Ground Ambulance Services

2026 Annual Update to the Therapy Code List

Editing for Hospital Services Provided to Hospice Enrollees

Display Testing/Production Region Identifier in ViPS Medicare System (VMS) Automated Parameters (VMAP) Phase 3

Transforming Episode Accountability Model (TEAM) Telehealth Waiver – Implementation

October 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.3

Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Quarter Notification for FY 2026

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

Instructions for Retrieving the January 2026 Opioid Treatment Program (OTP) Payment Rates File

New Waived Tests

Calendar Year (CY) 2026 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures