Traditional MedicareCoverageMedium impact
Next Generation Sequencing (NGS)
Medicare/CMS - NCD·Oncology, Cardiology, Neurology +3 more·National Coverage Determination
Effective date
Apr 30, 2026
We identified it
Jun 17, 2026
Summary
This is a National Coverage Determination for Next Generation Sequencing (NGS) from CMS, affecting Medicare coverage policies for genetic testing services. The policy appears to be an update to existing NGS coverage guidelines that will impact billing and coverage requirements for genetic testing procedures.
Action Required
By April 30, 2026: Billing team must review updated NGS coverage requirements and ensure compliance with new National Coverage Determination 90.2. Update billing protocols for genetic testing services to align with revised Medicare guidelines. Verify coverage criteria are met before submitting NGS claims to avoid denials.