FDA Approval: ENLICITIDE (ENLICITIDE CHLORIDE) — Type 1 - New Molecular Entity
FDA-NDA220848 · Multi-specialty
Enlicitide approved; billing pathway pending FDA label publication.
View alertCode intelligence
S09 reimbursement alerts
Policy changes, MAC LCD updates, and CMS guidance matched to code S09.
No policy changes are currently matched to S09
CMS, MAC, and Federal Register sources are monitored daily. When a policy change is matched to this code, it will appear here automatically.
Latest reimbursement alerts
The most recent policy changes across all codes and specialties.
Routine
FDA Approval: SUBVENITE (LAMOTRIGINE) — Type 3 - New Dosage Form
FDA-NDA218879 · Neurology
Oral lamotrigine suspension routes to Part D; formulary impact likely.
View alertProposed LCD DL33317: External Breast Prostheses — DME MAC
LCD-DL33317 · DME
Proposed LCD: External breast prostheses coverage criteria open for comment.
View alertProposed LCD DL33797: Oxygen and Oxygen Equipment — DME MAC
LCD-DL33797 · DME
Proposed DME MAC LCD may revise oxygen coverage & documentation rules.
View alertLCD L35074: Heavy Metal Testing — Wellpoint Federal
LCD-L35074 · Clinical Laboratory
Final LCD restricts Medicare coverage for heavy metal lab testing.
View alertLCD L37606: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases — Wellpoint Federal
LCD-L37606 · Oncology
Genomic panel coverage criteria for blood/lymphoid cancers—Part A & B.
View alertLCD L37475: Frequency of Hemodialysis — Wellpoint Federal
LCD-L37475 · ESRD
Wellpoint final LCD sets coverage rules for hemodialysis frequency.
View alertLCD L33399: EEG – Ambulatory Monitoring — Wellpoint Federal
LCD-L33399 · Neurology
Wellpoint Final LCD: Ambulatory EEG coverage criteria effective 4/1/2026
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