Medicare/CMSMedium ImpactBilling Codes
2026-05-14 - CMS Announces Early Adopters to Advance Solutions for Electronic Prior Authorization, Accelerating Momentum Ahead of 2027 Requirements
Published May 15, 2026Effective May 18, 2026
AI 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.
Action Required
By May 18, 2026: Billing team must update system to remove KF modifier from codes E0747, E0748, and E0760 for bone growth stimulator claims. Update billing software rules and fee schedules will be updated in July 2026 DMEPOS fee schedule. Monitor electronic prior authorization developments for 2027 implementation.
Affected Billing Codes
E0747E0748E0760G0491
Plan Types
Traditional Medicare
Specialties
ortho, pain-management, neurosurgery