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2025
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CMS Transmittals




Issue DateTransmittalTitleImplementation Date
2025-12-19 R13538CP

Cardiac Contractility Modulation (CCM) for Heart Failure (HF)

2026-04-06
2025-12-19 R13519CP

Calendar Year 2026 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

2026-01-05
2025-12-19 R13553CP

National Fee Schedule for Vaccine Administration Quarterly Update - January 2026

2026-01-05
2025-12-19 R13545CP

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)…

2026-04-26
2025-12-19 R13538NCD

Cardiac Contractility Modulation (CCM) for Heart Failure (HF)

2026-04-06
2025-12-18 R13547CP

Revisions to Publication 100-04, Medicare Claims Processing Manual, Chapters 9, 18, and…

2026-01-20
2025-12-19 R13551CP

Updates to the Internet Only Manual (IOM) Publication …

2026-01-21
2025-12-19 R13556CP

January 2026 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount

2026-01-05
2025-12-18 R13547BP

The purpose of this Change Request (CR) is to update Publication 100-04, Medicare Claims…

2026-01-20
2025-12-17 R13404CP

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for
January…

2026-01-05
2025-12-18 13547

The purpose of this Change Request (CR) is to update Publication 100-04, Medicare Claims…

2026-01-20
2025-12-18 13549

Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Sections 150.1, 150.2.1…

2026-01-20
2025-12-17 R13410CP

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-
Procedure (…

2026-01-05
2025-12-11 R13522NCD

NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension

2026-04-26
2025-12-17 R13471CP

2026 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments

2026-01-06
2025-12-11 R13526OTN

Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation…

2026-03-02
2025-12-11 R13522CP

NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension

2026-04-06
2025-12-09 R13484FM

The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the
Provider and…

2026-01-05
2025-12-10 R13488CP

Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year
(CY) 2026

2026-01-05
2025-12-09 R13442OTN

Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange Front-…

2026-04-06
2025-12-09 R13473CP

Instructions for Downloading the Medicare ZIP Code File for January 2026 Files

2026-01-05
2025-12-05 R13490CP

April 2026 Bi-Annual Update of the International Classification of Diseases, Tenth Revision,…

2026-04-06
2025-12-09 R13432CP

Removal of Chimeric Antigen Receptor (CAR) T-cell Therapy and Risk Evaluation Mitigation…

2026-02-06
2025-12-05 R13483CP

Update to Claims Processing Instructions for National Coverage Determination (NCD)
20.4…

2026-04-06
2025-12-05 R13489CP

April 2026 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

2026-04-06
2025-12-05 R13512CP

Calendar Year (CY) 2026 Home Infusion Therapy (HIT) Services Payment Rates and Instructions…

2026-01-05
2025-12-05 R13482CP

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy…

2026-04-06
2025-12-05 R13455OTN

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

2026-04-06
2025-12-05 R13477OTN

Implementation of the Award for the Jurisdiction F (J-F) Part A and Part B Medicare…

2025-09-01
2025-12-05 R13514CP

Calendar Year (CY) 2026 Annual Update for Clinical Laboratory Fee Schedule and Laboratory…

2026-01-05
2025-12-05 R13503BP

Manual Updates Adding Language to the Timing and Content of Certification and Revocation and…

2026-01-07
2025-12-05 R13504GI

Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2026

2026-01-05
2025-12-05 R13505CP

Calendar Year (CY) 2026 Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment…

2026-01-05
2025-12-05 R13506BP

Calendar Year (CY) 2026 Update to the Federally Qualified Health Center (FQHC) Prospective…

2026-01-05
2025-12-05 R13502OTN

National Correct Coding Initiative (NCCI) New/Updated Add-On Code (AOC) Edit File Format and…

2026-04-06
2025-12-05 R13507CP

Summary of Policies in the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (MPFS) Final…

2026-01-05
2025-12-05 R13509CP

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

2026-04-06
2025-12-05 R13447OTN

Edit to Prevent Overpayment of Long-term Stay in Hospice

2026-04-06
2025-12-05 R13493OTN

Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments…

2026-04-06
2025-11-14 R13364CP

 Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2026 and Productivity Adjustment…

2026-01-05
2025-12-04 R13515OTN

Editing for Duplicate Processing for Practitioner Professional Services and Critical Access…

2025-07-07
2025-11-26 R13459BP

Update to the List of Advanced Life Support, Level 2 (ALS2) Procedures in Chapter 10, Ambulance…

2025-07-17
2025-11-20 R13443OTN

Display Testing/Production Region Identifier in ViPS Medicare System (VMS) Automated Parameters…

2026-04-06
2025-11-21 R13431CP

2026 Annual Update to the Therapy Code List

2026-01-05
2025-11-20 R13479DEMO

Transforming Episode Accountability Model (TEAM) Telehealth Waiver – Implementation

2026-04-06
2025-11-20 R13446OTN

Editing for Hospital Services Provided to Hospice Enrollees

2026-04-06
2025-10-30 R13437CP

2026 Annual Update of Per-Beneficiary Threshold Amounts

2026-01-05
2025-11-19 R13470CP

October 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.3

2025-10-06
2025-11-14 R13440FM

Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Quarter…

2025-10-22
2025-11-14 R13465CP

New Waived Tests

14273
2025-11-14 R13411CP

January 2026 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and…

2025-01-05
2025-11-14 R13462CP

Instructions for Retrieving the January 2026 Medicare Physician Fee Schedule Database (MPFSDB)…

2026-01-05
2025-11-14 R13461CP

Instructions for Retrieving the January 2026 Opioid Treatment Program (OTP) Payment Rates File…

2026-01-05
2025-11-14 R13464CP

Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2026 and Productivity Adjustment

2026-01-05
2025-11-14 R13463CP

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS…

2026-01-05
2025-11-14 R13474CP

Calendar Year (CY) 2026 Participation Enrollment and Medicare Participating Physicians and…

2025-11-15
2025-09-30 R13438OTN

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

2026-01-05
2025-09-29 R13436CP

October Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and…

2025-10-06
2025-09-26 R5P248i

This transmittal updates Chapter 48, Home Office Cost Statement, Form CMS-287-22, to clarify…

N/A
2025-09-26 R13434DEMO

Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver –…

2026-01-05
2025-09-26 R24P240i

This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report (Form…

N/A
2025-09-26 R8P244i

This transmittal updates Chapter 44, Federally Qualified Health Centers (FQHC) Cost Report,

N/A
2025-09-22 R13427NCD

NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)

2026-01-05
2025-09-25 R13433OTN

Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits to Include Prospective…

2026-01-05
2025-09-22 R13425CP

October 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS)

2025-10-06
2025-09-22 R13427CP

NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)

2026-01-05
2025-09-22 R13426CP

2026 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled…

2026-01-05
2025-09-22 R13420CP

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds…

2026-01-05
2025-09-22 R13428CP

Revised Start Date of the Expanded Outlier Reconciliation Criteria for the Inpatient Prospective…

2025-10-01
2025-09-22 R13429CP

October 2025 Update of the Ambulatory Surgical Center [ASC] Payment System

2025-10-06
2025-09-18 R13423CP

Update to Pub 100-04, Chapter 18 - Preventive and Screening Services

2025-10-20
2025-09-18 R13415PI

Provider Enrollment Updates to Chapter 10 of CMS Publication (Pub.) 100-08, Program Integrity…

2025-10-20
2025-09-12 R6P246i

This transmittal updates Chapter 46, Rural Health Clinic (RHC) Cost Report, Form
CMS-222-17,…

2025-09-12
2025-09-12 R5P245i

This transmittal updates Chapter 45, Community Mental Health Center Cost Report, Form CMS-2088-…

2025-09-12
2025-09-12 R234SOMA

Revisions to State Operations Manual (SOM) Chapter 5 - Complaint Procedures, Sections 5500-5590…

2025-09-12
2025-09-12 R13409PI

Update to Medical Review Instructions for Inpatient Hospital Claims in Chapter 6 of Publication…

2025-10-13
2025-09-12 R233SOMA

Revisions to Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and…

2025-09-12
2025-09-11 R13412CP

Laboratory Specimen Collection Travel Allowance Billing to the Tenth of a Mile

2026-04-06
2025-09-09 R13401OTN

 International Classification of Diseases, 10th Revision (ICD-10) and…

2026-01-05
2025-09-05 R13393OTN

Enhancing MCS 276/277 Claim Status Processing to Include Medicare Adjudication Portal (MAP)…

2026-01-05
2025-09-05 R13400OTN

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

2026-01-05
2025-09-04 R13397OTN

ViPS Medicare System (VMS) - Display Testing/Production Region Identifier in VMS Automated…

2026-01-05
2025-09-05 R13362CP

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services
Subject…

2025-10-06
2025-09-05 R13361CP

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October
2025…

2025-10-06
2025-09-05 R13388CP

October Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies…

2025-10-06
2025-09-04 R13399DEMO

Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver –…

2026-01-05
2025-09-04 R13398OTN

Fiscal Year (FY) 2026 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (…

2025-10-06
2025-09-04 R13396OTN

Provider Education for Prior Authorization (PA) of Certain Services in the Ambulatory Surgical…

2025-10-06
2025-08-27 R13391CP

 Enhancing Compliance and Payment Accuracy for Physician Services in…

2025-07-07
2025-09-02 R13395CP

Allowing Additional Revenue Codes for Payment for Renal Dialysis Services Furnished to…

2026-01-05
2025-08-28 R13385MPI

Updates of Chapter 3 and the Appendices Chapter in Publication (Pub.) 100-15, Including Updates…

2025-09-29
2025-08-22 R501PR1

This transmittal updates Exhibit C-3 by adding factors for the months of January 2024 through…

N/A
2025-08-26 R13383OTN

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

2026-01-05
2025-08-21 R13377CP

January 2026 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

2026-01-05
2025-08-22 R500PR1

This transmittal updates Exhibit C-3 by adding factors for the months of January 2024 through…

N/A
2025-08-21 R13374CP

Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic…

2025-10-22
2025-08-21 R13374NCD

Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic…

2025-10-22
2025-08-21 R13375OTN

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

2026-01-05
2025-08-21 R13379CP

Annual Clotting Factor Furnishing Fee Update 2026

2026-01-05
2025-08-21 R13378CP

Quarterly Update to Home Health (HH) Grouper

2026-01-05