Traditional MedicareCoverageMedium impact
Heart Transplants
Medicare/CMS - NCD·Cardiothoracic Surgery, Transplant Surgery, Cardiology +1 more·National Coverage Determination
We identified it
Oct 27, 2026
Summary
This is a National Coverage Determination (NCD 260.9) for Heart Transplants that was last updated on 2026-10-26. The source document provided does not contain specific policy change details, billing codes, effective dates, or actionable requirements beyond the title and metadata. The billing team cannot determine what changed, what is newly covered or non-covered, or what workflow adjustments are needed without access to the full policy content comparing previous and current versions.
Action Required
Billing team should access the full NCD 260.9 policy text at https://www.cms.gov/medicare-coverage-database/data/ncd?ncdid=112&ncdver=3 to identify: (1) specific changes made as of the 2026-10-26 update; (2) any source-stated effective dates for coverage or billing changes; (3) affected CPT, HCPCS, or ICD-10 codes; (4) prior authorization or documentation requirements; and (5) any plan-type or geographic limitations. Compare the current version against the previous version to confirm applicability to your practice workflows. Do not assume the 2026-10-26 update date is an effective date; extract only source-stated effective dates. Flag any changes to heart transplant coverage, candidate criteria, or reimbursement for provider and compliance review.