R13709CP

Transmittal #
R13709CP
Issue Date
2026-04-02
Subject

Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Section 170.1 and Chapter 32, sections 330.1 and 330.2 for Updates in Change Request (CR) 14356 - International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026

Implementation Date
2026-06-02
CR #
14430
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2026-06-11
Publication #
100-04
Transmittal Year
2026

MLN Connects® Newsletter Message

ICD-10 & Other Coding Revisions to National Coverage Determinations: Manual Updates

CMS updated manuals to reflect Medicare coverage and payment for: 

  • Medicare Claims Processing Manual, Chapter 18 (PDF), section 170.1 - National Coverage Determinations (NCD) 210.10 Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling to Prevent STIs: Add CPT 87494 (used for combined chlamydia and gonorrhea testing) as a covered code for this policy, effective January 1, 2026
  • Medicare Claims Processing Manual, Chapter 32 (PDF), sections 330.1 and 330.2 - NCD 150.13 Percutaneous Image-Guided Lumbar Decompression for Lumbar Spinal Stenosis: 
    • End date CPT code 0275T, effective December 31, 2025
    • Add CPT code 62330, effective January 1, 2026
    • Add Place of Service 19, effective January 1, 2016

See the instruction to your Medicare Administrative Contractor (PDF).

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