Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Cryosurgery of Prostate \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Vertebral Axial Decompression (VAX-D) \| CMS Coverage Update	CMS	Modified	Orthopedics & Spine	May 15, 2026
Human Chorionic Gonadotropin \| CMS Coverage Update	CMS	Modified	Endocrinology	May 15, 2026
Abortion \| CMS Coverage Update	CMS	Modified	OB/GYN	May 15, 2026
Photodynamic Therapy \| CMS Coverage Update	CMS	Modified	Dermatology	May 15, 2026
Treatment of Actinic Keratosis \| CMS Coverage Update	CMS	Modified	Dermatology	May 15, 2026
Sterilization \| CMS Coverage Update	CMS	Modified	OB/GYN	May 15, 2026
Tumor Antigen by Immunoassay - CA 125 \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds \| CMS Coverage Update	CMS	Modified	DME & Home Health	May 15, 2026
L-Dopa \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	May 15, 2026
Insulin Syringe \| CMS Coverage Update	CMS	Modified	Endocrinology	May 15, 2026
Tumor Antigen by Immunoassay - CA 15-3/CA 27.29 \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Vitamin B12 Injections to Strengthen Tendons, Ligaments, etc., of the Foot \| CMS Coverage Update	CMS	Modified	Podiatry	May 15, 2026
Hydrophilic Contact Lens For Corneal Bandage \| CMS Coverage Update	CMS	Modified	Ophthalmology	May 15, 2026
Laetrile and Related Substances \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Autogenous Epidural Blood Graft \| CMS Coverage Update	CMS	Modified	Pain Management	May 15, 2026
Porcine Skin and Gradient Pressure Dressings \| CMS Coverage Update	CMS	Modified	Dermatology	May 15, 2026
Plastic Surgery to Correct \"Moon Face\" \| CMS Coverage Update	CMS	Modified	General Surgery	May 15, 2026
Physician's Office within an Institution Coverage of Services and Supplies Incident to a Physician's Services \| CMS Coverage Update	CMS	Modified	General / Multi-Specialty	May 15, 2026
Certain Drugs Distributed by the National Cancer Institute \| CMS Coverage Update	CMS	Modified	Oncology, Pharmacy	May 15, 2026
Tumor Antigen by Immunoassay - CA 19-9 \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Transfer Factor for Treatment of Multiple Sclerosis \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	May 15, 2026
Granulocyte Transfusions \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Transcutaneous Electrical Nerve Stimulation (TENS) for Acute Post-Operative Pain \| CMS Coverage Update	CMS	Modified	Pain Management	May 15, 2026
Ethylenediamine-Tetra-Acetic (EDTA) Chelation Therapy for Treatment of Atherosclerosis \| CMS Coverage Update	CMS	Modified	Cardiology	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.