IOTA Model Launch: Key Changes for Transplant Billing Effective July 2026
What Changed
Action required by
July 1, 2026
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
What Changed
The IOTA Model, part of the Medicare payment system, will undergo significant updates effective July 1, 2026. These changes are designed to enhance access to organ transplants for Medicare beneficiaries by streamlining reimbursement processes and refining performance metrics for transplant programs. While specific CPT, HCPCS, or ICD-10 codes are not yet detailed, the updates will likely influence coding practices related to organ transplant procedures and follow-up care.
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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.