Coverage updates

A National Coverage Determination (NCD) is a federal mandate of what Medicare covers. View the full NCD summary for each topic on the Centers for Medicare & Medicaid Services (CMS) website using the links below.

To view older NCDs, visit the CMS website Medicare Coverage Database

The Centers for Medicare & Medicaid Services (CMS) covers implantable pulmonary artery pressure sensor(s) (IPAPS) for heart failure (HF) management…
Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management

The Centers for Medicare & Medicaid Services (CMS) covers transcatheter tricuspid valve replacement (TTVR) for the treatment of symptomatic tricuspid regurgitation…
Transcatheter Tricuspid Valve Replacement

The Centers for Medicare & Medicaid Services (CMS) has determined that Pre-Exposure Prophylaxis (PrEP) using antiretroviral drugs to prevent Human Immunodeficiency Virus (HIV) is covered as an additional preventive service…
Pre-Exposure Prophylaxis

Effective for services performed on or after March 6, 2024, allogeneic hematopoietic stem cell transplant…
Stem Cell Transplantation

The Centers for Medicare & Medicaid Services (CMS) finds that coverage of percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting is reasonable and necessary…
Percutaneous Transluminal Angioplasty of the Carotid Artery Concurrent with Stenting