Top StoryOn September 21, CMS released preliminary CY 2027 CLFS payment rates based on the second full PAMA private-payor data reporting cycle.
Also This WeekCR 14569 took effect October 1, adding new CPT codes, deleting others, and incorporating quarterly CLIA and waived-test updates.
Also This WeekThe FY2027 ICD-10-CM update, effective October 1, 2026, introduces 190 new codes, 30 deletions, and four revisions, applicable through September 30, 2027.
Also This WeekAnthem's revised medical policy, effective October 1, 2026, establishes medical-necessity criteria that could support reimbursement for several blood-based Alzheimer's…
Also This WeekUnitedHealthcare Community Plan will implement a Flow Cytometry Policy reimbursing immunophenotyping codes only when billed for certain specified conditions.
Also This WeekCR 14536, effective October 1 with MAC implementation October 5, adds and deletes ICD-10-CM codes within the laboratory NCD edit module.
WatchlistCMS is accepting comments on the preliminary CY 2027 weighted median data through October 21, 2026.
WatchlistCMS will publish final CY 2027 CLFS rates in November 2026. The CY2027 Physician Fee Schedule final rule is also expected by November 1, with most changes effective…
