LCD-L37011
Document details
Summary
The introduction of the ProMark® Risk Score is expected to impact billing practices by establishing new criteria for reimbursement starting January 1, 2026. Providers must ensure compliance with the uNew ProMark® Risk Score impacts billing from 2026.
Affected codes
ICD-10-CM
Affected specialty
Outpatient alerts →Source document
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37011&ver=24CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.
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