| Issue Date | Transmittal | Title | Implementation Date |
| 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 |
| 2025-08-21 |
R13380CP |
Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 120 Days to… |
2026-01-05 |
| 2025-08-14 |
R13366CP |
NCD 20.38 - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (TTEER) |
2026-01-05 |
| 2025-08-15 |
R13368DEMO |
Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver –… |
2026-01-05 |
| 2025-08-14 |
R13360OTN |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… |
2026-01-05 |
| 2025-08-14 |
R13365CP |
National Fee Schedule for Vaccine Administration Quarterly Update - October 2025 |
2025-10-06 |
| 2025-08-14 |
R13366NCD |
NCD 20.38 - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (TTEER) … |
2026-01-05 |
| 2025-08-13 |
R13355PI |
Removal of Gender References from CMS Publication (Pub.) 100-08, Chapter
10 |
2025-05-05 |
| 2025-08-14 |
R13356PI |
Suppliers Documentation for Claims for Refills of Essential Accessories for Beneficiary-Owned… |
2025-09-16 |
| 2025-08-13 |
R13359CP |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2025… |
2025-10-06 |
| 2025-08-06 |
R13349CP |
Influenza Vaccine Payment Allowances - Annual Update for 2025-2026 Season |
2025-09-08 |
| 2025-07-31 |
R13343NCD |
NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR) |
2026-01-05 |
| 2025-08-01 |
R13344CP |
July 2025 Update of the Ambulatory Surgical Center [ASC] Payment System |
2025-07-07 |
| 2025-07-31 |
R13335OTN |
Hold Split Claims Pulled for Review in ViPS Medicare System (VMS) Online Quality Control (OQC)… |
2026-01-05 |
| 2025-07-31 |
R13343CP |
NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR) |
2026-01-05 |
| 2025-07-31 |
R13338OTN |
Display Testing/Production Region Identifier in ViPS Medicare System (VMS) Automated Parameters… |
2026-01-05 |
| 2025-07-31 |
R13336OTN |
Update the Multi-Carrier System (MCS) Criteria Location Movement Maintenance (CM) Screen |
2026-01-05 |
| 2025-07-31 |
R13339OTN |
Update the Multi-Carrier System (MCS) Full Procedure Code Inquiry (PL Segment) Screen
I. |
2026-01-05 |
| 2025-07-31 |
R13340OTN |
Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits to Include Prospective… |
2026-01-05 |
| 2025-07-31 |
R13341OTN |
Effective Date Change for Bypass of Common Working File (CWF) Edits on Inpatient Ancillary 12X… |
2026-01-05 |
| 2025-07-31 |
R13342OTN |
Addressing Potential Underpayment Issues For Critical Access Hospitals With Part A Rates That… |
2026-01-05 |
| 2025-07-30 |
R13315CP |
File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding… |
2025-10-06 |
| 2025-07-25 |
R13295CP |
Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule… |
2025-10-06 |
| 2025-07-29 |
R13268FM |
The Fiscal Year 2025 CMS Internet Only Manual (IOM) Update to Publication (Pub.) 100-06, Chapter… |
2025-07-14 |
| 2025-07-24 |
R13322PI |
Updates to Chapter 1, Section 1.4 of Publication (Pub) 100-08 - Program Integrity Manual (PIM)… |
2025-08-25 |
| 2025-07-25 |
R13295BP |
Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule… |
2026-10-06 |
| 2025-07-25 |
R13327OTN |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… |
2025-07-07 |
| 2025-07-24 |
R13320CP |
Laboratory Specimen Collection Travel Allowance Billing to the Tenth of a Mile |
14130 |
| 2025-07-24 |
R13321PI |
Updates to the Medical Record Documentation Guidance Within Publication (Pub.) 100-08, Program… |
2025-08-25 |
| 2025-07-24 |
R13317CP |
Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Sections 150.4,… |
2025-08-25 |
| 2025-07-24 |
R13314CP |
Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Claims… |
2026-01-05 |
| 2025-07-24 |
R13319CP |
Allowing Additional Revenue Codes for Payment for Renal Dialysis Services Furnished to… |
2026-01-05 |
| 2025-07-24 |
R13316CP |
Update to Publication 100-04, Chapter 12, Section 30.6.7 to Establish Payment Criteria for… |
2025-08-25 |
| 2025-07-21 |
R13293CP |
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy… |
2025-10-06 |
| 2025-07-23 |
R232SOMA |
Revisions to State Operations Manual (SOM), Appendix PP |
2025-04-28 |
| 2025-07-17 |
R13308OTN |
Update of a National Uniform Billing Committee (NUBC) Condition Code “63”, “Incarcerated… |
2025-08-18 |
| 2025-07-21 |
R13292CP |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2025… |
2025-10-06 |
| 2025-07-21 |
R13294CP |
Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS… |
2025-10-06 |
| 2025-07-11 |
R13305FM |
Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Quarter… |
2025-07-17 |
| 2025-07-17 |
R13307SS |
Pub 100-17 Medicare Business Partners Systems Security Manual Update |
2025-08-18 |
| 2025-07-15 |
R13304CP |
Technical Revisions Only to the Claims Processing Manual (CPM), Publication (Pub) 100-04,… |
2025-06-23 |
| 2025-07-11 |
R13303FM |
Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Quarter… |
2025-07-17 |
| 2025-07-10 |
R13300OTN |
Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 7 |
2026-01-05 |
| 2025-07-11 |
R230SOMA |
Revisions to State Operations Manual (SOM) Chapter 6 - Special Procedures for Laboratories. |
2025-07-11 |
| 2025-07-10 |
R13301DEMO |
Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver –… |
2026-01-05 |
| 2025-07-09 |
R231SOMA |
Revisions to State Operations Manual (SOM), Appendix PP |
2025-07-09 |
| 2025-07-02 |
R13270CP |
October 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and… |
2025-10-06 |
| 2025-06-25 |
R13287CP |
Updates to Chapter 1 of the Medicare Claims Processing Manual (Publication (Pub.) 100-04) to… |
2025-07-26 |
| 2025-06-23 |
R13256CP |
July 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.2 |
2025-07-07 |
| 2025-06-25 |
R13286OTN |
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… |
2025-04-21 |
| 2025-06-20 |
R13282CP |
National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for… |
2025-10-06 |
| 2025-06-23 |
R13258CP |
July 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
2025-07-07 |
| 2025-06-23 |
R13283CP |
April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (… |
2025-04-07 |
| 2025-06-20 |
R12P242i |
This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS-… |
N/A |
| 2025-06-20 |
R13280CP |
Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update… |
2025-10-06 |
| 2025-06-20 |
R13278CP |
Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 90 Days to… |
2024-10-07 |
| 2025-06-20 |
R13282NCD |
National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for… |
2025-10-06 |
