Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Treatment of Obesity — NCD 38 \| CMS Coverage Update	CMS	Modified	Endocrinology	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
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	Mar 12, 2026
Biofeedback Therapy for the Treatment of Urinary Incontinence — NCD 42 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	Mar 12, 2026
Oxygen Treatment of Inner Ear/Carbon Therapy — NCD 43 \| CMS Coverage Update	CMS	Modified	ENT / Otolaryngology	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	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	Mar 12, 2026
Intestinal Bypass Surgery - RETIRED — NCD 50 \| CMS Coverage Update	CMS	Modified	General Surgery	Mar 12, 2026
Fabric Wrapping of Abdominal Aneurysms — NCD 51 \| CMS Coverage Update	CMS	Modified	General Surgery	Mar 12, 2026
Therapeutic Embolization — NCD 52 \| CMS Coverage Update	CMS	Modified	Interventional Procedures	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
Ultrafiltration, Hemoperfusion and Hemofiltration — NCD 55 \| CMS Coverage Update	CMS	Modified	General / Multi-Specialty	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	Pain Management	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	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	Laboratory	Mar 12, 2026
Cardiac Catheterization Performed in Other than a Hospital Setting - RETIRED — NCD 62 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 12, 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.