Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Scalp Hypothermia During Chemotherapy to Prevent Hair Loss \| CMS Coverage Update	CMS	Modified	Oncology	May 15, 2026
Lymphocyte Immune Globulin, Anti-Thymocyte Globulin (Equine) \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Dimethyl Sulfoxide (DMSO) \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Prolotherapy, Joint Sclerotherapy, and Ligamentous Injections with Sclerosing Agents \| CMS Coverage Update	CMS	Modified	Pain Management	May 15, 2026
Anti-Inhibitor Coagulant Complex (AICC) \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Supplies Used in the Delivery of Transcutaneous Electrical Nerve Stimulation (TENS) and Neuromuscular Electrical Stimulation (NMES) \| CMS Coverage Update	CMS	Modified	Gastroenterology	May 15, 2026
Prostate Specific Antigen \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Gamma Glutamyl Transferase \| CMS Coverage Update	CMS	Modified	Laboratory	May 15, 2026
Blood Transfusions \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Antigens Prepared for Sublingual Administration \| CMS Coverage Update	CMS	Modified	ENT / Otolaryngology	May 15, 2026
Intravenous Iron Therapy \| CMS Coverage Update	CMS	Modified	Hematology	May 15, 2026
Photosensitive Drugs \| CMS Coverage Update	CMS	Modified	Pharmacy	May 15, 2026
Intravenous Immune Globulin for the Treatment of Autoimmune Mucocutaneous Blistering Diseases \| CMS Coverage Update	CMS	Modified	Rheumatology	May 15, 2026
Levocarnitine for use in the Treatment of Carnitine Deficiency in ESRD Patients \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Consultations with a Beneficiary's Family and Associates \| CMS Coverage Update	CMS	Modified	General / Multi-Specialty	May 15, 2026
Cardiac Pacemaker Evaluation Services \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
Cytotoxic Food Tests \| CMS Coverage Update	CMS	Modified	Laboratory	May 15, 2026
HIS Bundle Study \| CMS Coverage Update	CMS	Modified	General / Multi-Specialty	May 15, 2026
Gravlee Jet Washer \| CMS Coverage Update	CMS	Modified	DME & Home Health	May 15, 2026
Thermography \| CMS Coverage Update	CMS	Modified	Radiology & Imaging	May 15, 2026
Plethysmography \| CMS Coverage Update	CMS	Modified	Pulmonology	May 15, 2026
Hepatitis Panel/Acute Hepatitis Panel \| CMS Coverage Update	CMS	Modified	Gastroenterology, Infectious Disease	May 15, 2026
Fecal Occult Blood Test \| CMS Coverage Update	CMS	Modified	Laboratory	May 15, 2026
White Cane for Use by a Blind Person \| CMS Coverage Update	CMS	Modified	DME & Home Health	May 15, 2026
Home Use of Oxygen \| CMS Coverage Update	CMS	Modified	DME & Home Health	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.