Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Lung Volume Reduction Surgery (Reduction Pneumoplasty) — NCD 119 \| CMS Coverage Update	CMS	Modified	Pulmonology	Mar 7, 2026
Transmyocardial Revascularization (TMR) — NCD 120 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 7, 2026
Alpha-fetoprotein — NCD 121 \| CMS Coverage Update	CMS	Modified	Laboratory	Mar 7, 2026
Partial Ventriculectomy — NCD 122 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 7, 2026
Cryosurgery of Prostate — NCD 123 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	Mar 7, 2026
Vertebral Axial Decompression (VAX-D) — NCD 124 \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	Mar 7, 2026
Human Chorionic Gonadotropin — NCD 125 \| CMS Coverage Update	CMS	Modified	Endocrinology	Mar 7, 2026
Abortion — NCD 127 \| CMS Coverage Update	CMS	Modified	OB/GYN	Mar 7, 2026
Photodynamic Therapy — NCD 128 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 7, 2026
Treatment of Actinic Keratosis — NCD 129 \| CMS Coverage Update	CMS	Modified	Dermatology	Mar 7, 2026
Tumor Antigen by Immunoassay - CA 125 — NCD 130 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 7, 2026
Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds — NCD 131 \| CMS Coverage Update	CMS	Modified	Physical Medicine & Rehab	Mar 7, 2026
L-Dopa — NCD 132 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	Mar 7, 2026
Insulin Syringe — NCD 133 \| CMS Coverage Update	CMS	Modified	Endocrinology	Mar 7, 2026
Tumor Antigen by Immunoassay - CA 15-3/CA 27.29 — NCD 134 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 7, 2026
Vitamin B12 Injections to Strengthen Tendons, Ligaments, etc., of the Foot — NCD 135 \| CMS Coverage Update	CMS	Modified	Podiatry	Mar 7, 2026
Hydrophilic Contact Lens For Corneal Bandage — NCD 136 \| CMS Coverage Update	CMS	Modified	Ophthalmology	Mar 7, 2026
Laetrile and Related Substances — NCD 137 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 7, 2026
Autogenous Epidural Blood Graft — NCD 138 \| CMS Coverage Update	CMS	Modified	Pain Management	Mar 7, 2026
Porcine Skin and Gradient Pressure Dressings — NCD 139 \| CMS Coverage Update	CMS	Modified	Dermatology	Mar 7, 2026
Physician's Office within an Institution Coverage of Services and Supplies Incident to a Physician's Services — NCD 140 \| CMS Coverage Update	CMS	Modified	General / Multi-Specialty	Mar 7, 2026
Certain Drugs Distributed by the National Cancer Institute — NCD 141 \| CMS Coverage Update	CMS	Modified	Oncology, Pharmacy	Mar 7, 2026
Tumor Antigen by Immunoassay - CA 19-9 — NCD 142 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 7, 2026
Transfer Factor for Treatment of Multiple Sclerosis — NCD 143 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	Mar 7, 2026
Granulocyte Transfusions — NCD 144 \| CMS Coverage Update	CMS	Modified	Hematology	Mar 7, 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.