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2026-05-14 - CMS Announces Early Adopters to Advance Solutions for Electronic Prior Authorization, Accelerating Momentum Ahead of 2027 Requirements
Act
by May 18, 2026
Effective date
May 18, 2026
Identified
May 15, 2026
Summary
CMS announces Electronic Prior Authorization Acceleration initiative with 30 healthcare organizations as early adopters to address workflow and technical barriers ahead of 2027 requirements. Bone growth stimulator codes E0747, E0748, and E0760 are reclassified as Class II devices effective May 18, 2026, requiring removal of KF modifier and updated fee schedules.
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What to do
by May 18, 2026 · 3 steps
01Billing team must update system to remove KF modifier from codes E0747, E0748, and E0760 for bone growth stimulator claims.
02Update billing software rules and fee schedules will be updated in July 2026 DMEPOS fee schedule.
03Monitor electronic prior authorization developments for 2027 implementation.
Codes mentioned
E0747E0748E0760G0491
Original notice
2026-05-14 - CMS Announces Early Adopters to Advance Solutions for Electronic Prior Authorization, Accelerating Momentum Ahead of 2027 Requirements
cms.gov · Always check the source before changing claims.
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