Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Chimeric Antigen Receptor (CAR) T-cell Therapy — NCD 374 \| CMS Coverage Update	CMS	Modified	Hematology, Oncology, Pharmacy	Mar 12, 2026
Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease (AD) — NCD 375 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery, Pharmacy	Mar 12, 2026
Seat Elevation Equipment (Power Operated) on Power Wheelchairs — NCD 376 \| CMS Coverage Update	CMS	Modified	DME & Home Health	Mar 12, 2026
Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention — NCD 377 \| CMS Coverage Update	CMS	Modified	Infectious Disease	Mar 12, 2026
Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management — NCD 378 \| CMS Coverage Update	CMS	Modified	Cardiology, Pulmonology	Mar 12, 2026
Transcatheter Tricuspid Valve Replacement (TTVR) — NCD 379 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 12, 2026
Treatment of Obesity — NCD 38 \| CMS Coverage Update	CMS	Modified	Endocrinology, Primary Care, Behavioral Health	Mar 12, 2026
Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD) — NCD 380 \| CMS Coverage Update	CMS	Modified	Pulmonology	Mar 12, 2026
Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER) — NCD 381 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 12, 2026
Renal Denervation (RDN) for Uncontrolled Hypertension — NCD 382 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	Mar 12, 2026
Cardiac Contractility Modulation (CCM) for Heart Failure (HF) — NCD 383 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 12, 2026
Heat Treatment, Including the Use of Diathermy and Ultra-Sound for Pulmonary Conditions — NCD 4 \| CMS Coverage Update	CMS	Modified	Pulmonology	Mar 12, 2026
Biofeedback Therapy — NCD 41 \| CMS Coverage Update	CMS	Modified	Behavioral Health, Physical Medicine & Rehab, Neurology & Neurosurgery	Mar 12, 2026
Biofeedback Therapy for the Treatment of Urinary Incontinence — NCD 42 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology, OB/GYN, Physical Medicine & Rehab	Mar 12, 2026
Oxygen Treatment of Inner Ear/Carbon Therapy — NCD 43 \| CMS Coverage Update	CMS	Modified	DME & Home Health, ENT / Otolaryngology, Pulmonology	Mar 12, 2026
Blood Platelet Transfusions — NCD 44 \| CMS Coverage Update	CMS	Modified	Hematology	Mar 12, 2026
Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring) — NCD 46 \| CMS Coverage Update	CMS	Modified	Infectious Disease	Mar 12, 2026
Treatment of Decubitus Ulcers — NCD 47 \| CMS Coverage Update	CMS	Modified	Dermatology, General Surgery, General Surgery, Primary Care	Mar 12, 2026
Vertebral Artery Surgery — NCD 48 \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	Mar 12, 2026
Ultrasonic Surgery — NCD 5 \| CMS Coverage Update	CMS	Modified	General Surgery, ENT / Otolaryngology, Orthopedics & Spine	Mar 12, 2026
Intestinal Bypass Surgery - RETIRED — NCD 50 \| CMS Coverage Update	CMS	Modified	Gastroenterology, General Surgery	Mar 12, 2026
Fabric Wrapping of Abdominal Aneurysms — NCD 51 \| CMS Coverage Update	CMS	Modified	General Surgery, Interventional Procedures, Cardiology	Mar 12, 2026
Therapeutic Embolization — NCD 52 \| CMS Coverage Update	CMS	Modified	Interventional Procedures, Radiology & Imaging	Mar 12, 2026
Human Immunodeficiency Virus (HIV) Testing (Diagnosis) — NCD 53 \| CMS Coverage Update	CMS	Modified	Infectious Disease	Mar 12, 2026
Extracranial-Intracranial (EC-IC) Arterial Bypass Surgery — NCD 54 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	Mar 12, 2026

Policy updates for healthcarebilling and compliance teams.

One missed policy change can cost thousands in denied claims.

Policy updates for healthcare
billing and compliance teams.