Reimbursement Intelligence Digest — Week of August 17, 2026
### Multi-specialty - **Verify Documentation by September 1**: Review updates from the CMS Transmittals R13910OTN and R13923OTN regarding ICD-10 and
Actions Required This Week
Multi-specialty - Verify Documentation by September 1: Review updates from the CMS Transmittals R13910OTN and R13923OTN regarding ICD-10 and other coding revisions. - Action Required: Allergy Diagnostic Testing Compliance Verification: Review Local Coverage Determinations (LCDs) for L40324 (Noridian), L40328 (Palmetto GBA), L40330 (Wellpoint Federal), and L40341 (WPS). Ensure that relevant CPT/HCPCS codes adhere to updated guidelines.
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Quick answers
What is the deadline for submitting comments on the Medicare Program Regulatory Alignment for RAPID Coverage Pathway?
The deadline for submitting comments on the Medicare Program's Regulatory Alignment for the RAPID Coverage Pathway is September 15, 2026.
What actions are required for the LCD updates on Allergy Diagnostic Testing?
Review the related Local Coverage Determinations (LCDs) and verify that all reported CPT/HCPCS codes are in compliance with updated guidelines for the respective jurisdictions.
What major regulatory update affects Medicaid claims?
The final rule prohibits federal Medicaid and CHIP funding for sex-rejecting procedures furnished to children. Review Medicaid claims to ensure compliance with this new regulation.
What should coding teams do regarding the newly approved FDA drugs?
Ensure that all newly approved FDA drugs are updated in the billing system and documentation. This includes updates for new molecular entities, combinations, and dosage forms.
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.