Traditional MedicareCoverageMedium impact
Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs
Medicare/CMS - NCD·Family Medicine, Internal Medicine, OB-GYN +3 more·National Coverage Determination
Effective date
Apr 30, 2026
We identified it
Jun 17, 2026
Summary
Medicare has updated National Coverage Determination 210.10 regarding screening for sexually transmitted infections (STIs) and high-intensity behavioral counseling to prevent STIs. This policy affects coverage and billing for STI screening services and preventive counseling under Medicare.
Action Required
By April 30, 2026: Billing team must review updated NCD 210.10 requirements for STI screening and behavioral counseling services. Verify coverage criteria and documentation requirements are met before billing Medicare for these services. Update billing protocols to align with new coverage determination guidelines.