Traditional MedicareCoverageMedium impact
Hepatitis Panel/Acute Hepatitis Panel
Medicare/CMS - NCD·Infectious Disease, Internal Medicine, General Practice +2 more·National Coverage Determination
We identified it
Oct 2, 2026
Summary
National Coverage Determination 190.33 updates Medicare coverage policy for Hepatitis Panel/Acute Hepatitis Panel laboratory testing. Without access to the full policy text details, the specific coverage changes, limitations, or billing requirements cannot be determined from the provided information.
Action Required
URGENT: Billing team must immediately access the full policy text at https://www.cms.gov/medicare-coverage-database/data/ncd?ncdid=166&ncdver=1 to identify: (1) specific CPT/HCPCS codes affected, (2) coverage criteria and medical necessity requirements, (3) prior authorization requirements, (4) effective date. Document all findings and update billing system rules, EMR templates, and staff training accordingly before processing claims. Do not bill hepatitis panel testing until coverage requirements are confirmed to avoid claim denials.