Alert detail

LCD L37011: ProMark® Risk Score — WPS

Policy ID: LCD-L37011Specialty: OutpatientAdded: 6/5/2026Effective: January 1, 2026lcd
Routine

What changed

New ProMark® Risk Score impacts billing from 2026.

Who’s affected: Outpatient billing teams · Effective: January 1, 2026

Affected codes

Codes81479

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

This change affects 1 billing code.

The full analysis, the revision comparison and the as-of-date version of this policy are what a partner packet carries. The source document above is free and always will be.