Coding Resource Center
July 2025
The Center for Medicare and Medicaid Services (CMS) and National Center for Health Statistics (NCHS) have announced the ICD-10-CM and ICD-10-PCS updates for fiscal year (FY) 2026. There are two annual updates for ICD-10, October and April. October updates are typically more extensive than the April updates. The updated code files for FY 2026 are […]
On July 14, 2025, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare Physician Fee Schedule (MFPS) for calendar year (CY) 2026. These proposed rules cover physician services furnished to beneficiaries on or after January 1, 2026. Highlights are described below: The complete MPFS proposed rule summary can be found […]
On July 15, 2025, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgery Center (ASC) Prospective Payment System for calendar year (CY) 2026. These proposed rules cover outpatient hospital and ASC services furnished to beneficiaries on or after January 1, […]
June 2025
W.L. Gore & Associates, Inc. announced the TAG thoracic branch endoprosthesis (TBE) is now FDA approved for use in Zones 0 and 1, which now expands its indication for the endovascular repair of lesions in the aortic arch and descending thoracic aorta while preserving flow to the single aortic arch branch vessel. The TBE, which […]
The Centers for Medicare and Medicaid (CMS) announced the Medicare Administrative Contractors (MACs) will undertake the task of conducting the inpatient hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient psychiatric facilities to determine appropriateness of Part A payment, starting September 1, 2025. The MACs will conduct these […]
May 2025
CY 2026 CPT® Coding Changes – Sneak Peek As we near the half-way point of 2025, it is time to begin looking forward to calendar year (CY) 2026. In preparation, there are several coding updates on the way from the American Medical Association (AMA) as part of the CPT® Editorial Panel Meetings which concluded for […]
April 2025
On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued their proposed rule that updates Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2026. Once these polices with or without modification are finalized, they will cover inpatient hospital discharges on or after October 1, […]
W.L. Gore and Associates (GORE) announced the growth of the GORE® TAG® Conformable Thoracic Stent Graft with ACTIVE CONTROL System after the Food and Drug Administration (FDA) approval of 4 new large diameter tapered designs: 34×28 mm, 37×31 mm, 40×34 mm and 45×37 mm. The GORE® TAG® Conformable Thoracic Stent Graft with ACTIVE CONTROL System […]
March 2025
On March 15, 2025, the President signed into law the Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968) to maintain federal funding and extend temporary Medicare telehealth flexibilities through September 30, 2025, which is the end of the fiscal year (FY). However, this spending package excluded the so called “doc fix” to reverse the […]
As of January 1, 2025, the Centers for Medicare and Medicaid Services (CMS) implemented final rule policy to the Affordable Care Act’s “60-day rule” which significantly changes how healthcare providers must report and return Medicare and Medicaid overpayments. The policy now allows for a temporary suspension of the 60-day deadline to report and return overpayments […]
