Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Ultrafiltration, Hemoperfusion and Hemofiltration — NCD 55 \| CMS Coverage Update	CMS	Modified	Interventional Procedures, Emergency Medicine	Mar 12, 2026
Intraocular Photography — NCD 56 \| CMS Coverage Update	CMS	Modified	Ophthalmology	Mar 12, 2026
Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity — NCD 57 \| CMS Coverage Update	CMS	Modified	Gastroenterology	Mar 12, 2026
Diathermy Treatment — NCD 58 \| CMS Coverage Update	CMS	Modified	Physical Medicine & Rehab, Pain Management, Orthopedics & Spine	Mar 12, 2026
Withdrawal Treatments for Narcotic Addictions — NCD 59 \| CMS Coverage Update	CMS	Modified	Behavioral Health	Mar 12, 2026
Cellular Therapy — NCD 6 \| CMS Coverage Update	CMS	Modified	Hematology, Oncology, Laboratory	Mar 12, 2026
Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery — NCD 60 \| CMS Coverage Update	CMS	Modified	Ophthalmology	Mar 12, 2026
Blood Counts — NCD 61 \| CMS Coverage Update	CMS	Modified	Hematology, Laboratory, Primary Care	Mar 12, 2026
Cardiac Catheterization Performed in Other than a Hospital Setting - RETIRED — NCD 62 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 12, 2026
Assessing Patient's Suitability for Electrical Nerve Stimulation Therapy — NCD 63 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery, Pain Management, Physical Medicine & Rehab	Mar 12, 2026
Breast Reconstruction Following Mastectomy — NCD 64 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 12, 2026
Osteogenic Stimulators — NCD 65 \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine, DME & Home Health, Podiatry	Mar 12, 2026
Hyperthermia for Treatment of Cancer — NCD 66 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 12, 2026
Cochleostomy with Neurovascular Transplant for Meniere's Disease — NCD 67 \| CMS Coverage Update	CMS	Modified	ENT / Otolaryngology, Neurology & Neurosurgery	Mar 12, 2026
Hemodialysis for Treatment of Schizophrenia — NCD 68 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	Mar 12, 2026
Laser Procedures — NCD 69 \| CMS Coverage Update	CMS	Modified	Ophthalmology, Dermatology, Urology & Nephrology	Mar 12, 2026
Thermogenic Therapy — NCD 7 \| CMS Coverage Update	CMS	Modified	Dermatology, Primary Care, Physical Medicine & Rehab	Mar 12, 2026
Adult Liver Transplantation — NCD 70 \| CMS Coverage Update	CMS	Modified	Gastroenterology	Mar 12, 2026
Pediatric Liver Transplantation — NCD 71 \| CMS Coverage Update	CMS	Modified	Gastroenterology	Mar 12, 2026
Refractive Keratoplasty — NCD 72 \| CMS Coverage Update	CMS	Modified	Ophthalmology	Mar 12, 2026
Transvenous (Catheter) Pulmonary Embolectomy (TPE) - RETIRED — NCD 73 \| CMS Coverage Update	CMS	Modified	Pulmonology	Mar 12, 2026
Partial Thromboplastin Time (PTT) — NCD 74 \| CMS Coverage Update	CMS	Modified	Hematology, Laboratory, Primary Care	Mar 12, 2026
Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders — NCD 76 \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	Mar 12, 2026
Electroencephalographic Monitoring During Surgical Procedures Involving the Cerebral Vasculature — NCD 77 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery, Interventional Procedures, General Surgery	Mar 12, 2026
Thoracic Duct Drainage (TDD) in Renal Transplants — NCD 79 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	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.