| Issue Date | Transmittal | Title | Implementation 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 |