CMS ignores potentially misvalued codes, revalues some codes anyway

Why This Topic Matters

The article highlights payment and valuation changes that can affect billing, reimbursement expectations, and coding workflow for specific services. It also shows how CMS responded to public comments and requests in the annual payment update process.

Article Sections

1. Coding

   Overview of CMS’s CY 2026 approach to selected valuation and pricing issues across several services. The section frames the article’s focus on fee schedule responses to requests and comments.

2. New add-on G code will allow performing surgeons to bill for nerve cryoablation

   Discussion of a newly issued HCPCS G code and the policy context surrounding it. The section covers the general service category, payment setting considerations, and the related federal program referenced in the article.

3. OCT code 0605T gets national pricing

   Summary of CMS’s decision to assign national pricing to a Category III CPT code and the rationale described in the article. The section addresses comparative valuation and the broader imaging and remote-monitoring context.

4. Remote cardiac device interrogation code 93296 will see a boost

   Coverage of CMS’s revision to inputs associated with a remote cardiac device interrogation service and the resulting payment impact. The section focuses on the technical component and related valuation update.