Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease (AD) \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	May 15, 2026
Seat Elevation Equipment (Power Operated) on Power Wheelchairs \| CMS Coverage Update	CMS	Modified	DME & Home Health	May 15, 2026
Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention \| CMS Coverage Update	CMS	Modified	Infectious Disease	May 15, 2026
Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management \| CMS Coverage Update	CMS	Modified	Cardiology, Pulmonology	May 15, 2026
Treatment of Obesity \| CMS Coverage Update	CMS	Modified	Endocrinology	May 15, 2026
Renal Denervation (RDN) for Uncontrolled Hypertension \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Heat Treatment, Including the Use of Diathermy and Ultra-Sound for Pulmonary Conditions \| CMS Coverage Update	CMS	Modified	Pulmonology	May 15, 2026
Biofeedback Therapy \| CMS Coverage Update	CMS	Modified	Physical Medicine & Rehab	May 15, 2026
Biofeedback Therapy for the Treatment of Urinary Incontinence \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Oxygen Treatment of Inner Ear/Carbon Therapy \| CMS Coverage Update	CMS	Modified	ENT / Otolaryngology	May 15, 2026
Blood Platelet Transfusions \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring) \| CMS Coverage Update	CMS	Modified	Infectious Disease	May 15, 2026
Treatment of Decubitus Ulcers \| CMS Coverage Update	CMS	Modified	Dermatology	May 15, 2026
Vertebral Artery Surgery \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	May 15, 2026
Ultrasonic Surgery \| CMS Coverage Update	CMS	Modified	General Surgery	May 15, 2026
Intestinal Bypass Surgery - RETIRED \| CMS Coverage Update	CMS	Modified	General Surgery	May 15, 2026
Fabric Wrapping of Abdominal Aneurysms \| CMS Coverage Update	CMS	Modified	General Surgery	May 15, 2026
Therapeutic Embolization \| CMS Coverage Update	CMS	Modified	Interventional Procedures	May 15, 2026
Human Immunodeficiency Virus (HIV) Testing (Diagnosis) \| CMS Coverage Update	CMS	Modified	Infectious Disease	May 15, 2026
Extracranial-Intracranial (EC-IC) Arterial Bypass Surgery \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	May 15, 2026
Ultrafiltration, Hemoperfusion and Hemofiltration \| CMS Coverage Update	CMS	Modified	General / Multi-Specialty	May 15, 2026
Intraocular Photography \| CMS Coverage Update	CMS	Modified	Ophthalmology	May 15, 2026
Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity \| CMS Coverage Update	CMS	Modified	Gastroenterology	May 15, 2026
Diathermy Treatment \| CMS Coverage Update	CMS	Modified	Physical Medicine & Rehab	May 15, 2026
Withdrawal Treatments for Narcotic Addictions \| CMS Coverage Update	CMS	Modified	Behavioral Health	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.