Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
FDG PET for Myocardial Viability \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
FDG PET for Colorectal Cancer (Replaced with Section 220.6.17) - RETIRED \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Manipulation \| CMS Coverage Update	CMS	Modified	Physical Medicine & Rehab	May 15, 2026
Chemical Aversion Therapy for Treatment of Alcoholism \| CMS Coverage Update	CMS	Modified	Behavioral Health	May 15, 2026
FDG PET for Lymphoma (Replaced with Section 220.6.17) - RETIRED \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
FDG PET for Lung Cancer (Replaced with Section 220.6.17) - RETIRED \| CMS Coverage Update	CMS	Modified	Oncology, Pulmonology	May 15, 2026
FDG PET for Thyroid Cancer (Replaced with Section 220.6.17) - RETIRED \| CMS Coverage Update	CMS	Modified	Oncology, Endocrinology	May 15, 2026
FDG PET for Soft Tissue Sarcoma (Replaced with Section 220.6.17) - RETIRED \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
FDG PET for Melanoma (Replaced with Section 220.6.17) - RETIRED \| CMS Coverage Update	CMS	Modified	Dermatology	May 15, 2026
FDG PET for Head and Neck Cancers (Replaced with Section 220.6.17) - RETIRED \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Smoking and Tobacco-Use Cessation Counseling - RETIRED \| CMS Coverage Update	CMS	Modified	Primary Care	May 15, 2026
Aprepitant for Chemotherapy-Induced Emesis \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Electrical Aversion Therapy for Treatment of Alcoholism \| CMS Coverage Update	CMS	Modified	Behavioral Health	May 15, 2026
Microvolt T-Wave Alternans (MTWA) \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
Nesiritide for Treatment of Heart Failure Patients \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
Home Use of Oxygen in Approved Clinical Trials \| CMS Coverage Update	CMS	Modified	DME & Home Health	May 15, 2026
Lumbar Artificial Disc Replacement (LADR) \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	May 15, 2026
Cavernous Nerves by Electrical Stimulation with Penile Plethsmography \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Infrared Therapy Devices \| CMS Coverage Update	CMS	Modified	DME & Home Health	May 15, 2026
INDEPENDENCE iBOT 4000 Mobility System \| CMS Coverage Update	CMS	Modified	DME & Home Health	May 15, 2026
Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumors \| CMS Coverage Update	CMS	Modified	Oncology, Neurology & Neurosurgery	May 15, 2026
Diagnosis and Treatment of Impotence \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Pulmonary Rehabilitation Services \| CMS Coverage Update	CMS	Modified	Pulmonology, Physical Medicine & Rehab	May 15, 2026
Nebulized Beta Adrenergic Agonist Therapy for Lung Diseases \| CMS Coverage Update	CMS	Modified	Pulmonology	May 15, 2026
Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026

Payer policy changesfor billing and compliance teams.

One missed policy change can cost thousands in denied claims.

Payer policy changes
for billing and compliance teams.