Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Cellular Therapy \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Use of Visual Tests Prior to and General Anesthesia during Cataract Surgery \| CMS Coverage Update	CMS	Modified	Ophthalmology	May 15, 2026
Blood Counts \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Cardiac Catheterization Performed in Other than a Hospital Setting - RETIRED \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
Assessing Patient's Suitability for Electrical Nerve Stimulation Therapy \| CMS Coverage Update	CMS	Modified	Pain Management	May 15, 2026
Breast Reconstruction Following Mastectomy \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Osteogenic Stimulators \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	May 15, 2026
Hyperthermia for Treatment of Cancer \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Cochleostomy with Neurovascular Transplant for Meniere's Disease \| CMS Coverage Update	CMS	Modified	ENT / Otolaryngology	May 15, 2026
Hemodialysis for Treatment of Schizophrenia \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Laser Procedures \| CMS Coverage Update	CMS	Modified	Ophthalmology	May 15, 2026
Thermogenic Therapy \| CMS Coverage Update	CMS	Modified	General / Multi-Specialty	May 15, 2026
Adult Liver Transplantation \| CMS Coverage Update	CMS	Modified	Gastroenterology	May 15, 2026
Pediatric Liver Transplantation \| CMS Coverage Update	CMS	Modified	Gastroenterology	May 15, 2026
Refractive Keratoplasty \| CMS Coverage Update	CMS	Modified	Ophthalmology	May 15, 2026
Transvenous (Catheter) Pulmonary Embolectomy (TPE) - RETIRED \| CMS Coverage Update	CMS	Modified	Pulmonology	May 15, 2026
Partial Thromboplastin Time (PTT) \| CMS Coverage Update	CMS	Modified	Laboratory	May 15, 2026
Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	May 15, 2026
Electroencephalographic Monitoring During Surgical Procedures Involving the Cerebral Vasculature \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	May 15, 2026
Thoracic Duct Drainage (TDD) in Renal Transplants \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Carotid Body Resection/Carotid Body Denervation \| CMS Coverage Update	CMS	Modified	Interventional Procedures	May 15, 2026
Prothrombin Time (PT) \| CMS Coverage Update	CMS	Modified	Laboratory	May 15, 2026
Endoscopy \| CMS Coverage Update	CMS	Modified	Gastroenterology	May 15, 2026
Apheresis (Therapeutic Pheresis) \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Invasive Intracranial Pressure Monitoring \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	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.