Notice2026-07226
Medicare Program; Public Meeting for New Revisions to the Healthcare Common Procedure Coding System (HCPCS) Level II Coding
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Published
April 14, 2026
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
This notice announces the first biannual Healthcare Common Procedure Coding System (HCPCS) Level II public meeting of 2026 to discuss the CMS' preliminary coding, Medicare benefit category, and Medicare payment determinations, if applicable, for new revisions to the HCPCS Level II code set for non-drug and non-biological items and services, as well as how to register for the meeting.
Full Text
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<title>Federal Register, Volume 91 Issue 71 (Tuesday, April 14, 2026)</title>
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[Federal Register Volume 91, Number 71 (Tuesday, April 14, 2026)]
[Notices]
[Pages 19142-19143]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-07226]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1852-N]
Medicare Program; Public Meeting for New Revisions to the
Healthcare Common Procedure Coding System (HCPCS) Level II Coding
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Notice.
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SUMMARY: This notice announces the first biannual Healthcare Common
Procedure Coding System (HCPCS) Level II public meeting of 2026 to
discuss the CMS' preliminary coding, Medicare benefit category, and
Medicare payment determinations, if applicable, for new revisions to
the HCPCS Level II code set for non-drug and non-biological items and
services, as well as how to register for the meeting.
DATES:
Primary meeting date: Monday, June 1, 2026, 9 a.m. to 5 p.m.
Eastern Daylight Time (EDT).
Overflow meeting date: Tuesday, June 2, 2026, 9 a.m. to 5 p.m. EDT
(virtual only).
Deadline for Registration of Speakers, In-person Attendees, and
Requests for Special Accommodations: The deadline to register as a
speaker, register for in-person attendee, or request special
accommodations is 5:00 p.m. EDT on Monday, May 18, 2026.
Deadline for Submission of Written Comments: 5:00 p.m. EDT on
Wednesday, June 3, 2026.
ADDRESSES:
Meeting Location: The HCPCS Level II public meeting will be a
hybrid event held as follows:
<bullet> In-person: The Centers for Medicare and Medicaid Services
(CMS), 7500 Security Boulevard, Baltimore, MD 21244.
<bullet> Virtual: Live stream via Teams (link will be posted on the
HCPCS Level II website).
Registration of Speakers, In-person Attendees, and Requests for
Special Accommodations: Individuals wishing to speak at the meeting
must following the instructions in sections IV. and V. of this notice
by the previously specified deadline via email to <a href="/cdn-cgi/l/email-protection#642c27342737240709174a0c0c174a030b12"><span class="__cf_email__" data-cfemail="3d757e6d7e6e7d5e504e1355554e135a524b">[email protected]</span></a>.
Individuals who need special accommodations should follow the
instructions specified in section III.C. of this notice or send an
email by the previously specified deadline to <a href="/cdn-cgi/l/email-protection#da92998a99899ab9b7a9f4b2b2a9f4bdb5ac"><span class="__cf_email__" data-cfemail="7a32392a39293a19170954121209541d150c">[email protected]</span></a>.
Submission of Written Comments: Each speaker must submit a written
summary as specified in section VI. of this notice by the previously
specified deadline via email to <a href="/cdn-cgi/l/email-protection#0a42495a49594a69677924626279246d657c"><span class="__cf_email__" data-cfemail="8ec6cddecdddceede3fda0e6e6fda0e9e1f8">[email protected]</span></a>. Written comments
must be submitted via email by the previously specified deadline to
<a href="/cdn-cgi/l/email-protection#b8f0fbe8fbebf8dbd5cb96d0d0cb96dfd7ce"><span class="__cf_email__" data-cfemail="6d252e3d2e3e2d0e001e4305051e430a021b">[email protected]</span></a>.
FOR FURTHER INFORMATION CONTACT: Sundus Ashar, (410) 786-0750,
<a href="/cdn-cgi/l/email-protection#5c0f293238292f723d2f343d2e6d1c3f312f7234342f723b332a"><span class="__cf_email__" data-cfemail="8ad9ffe4eefff9a4ebf9e2ebf8bbcae9e7f9a4e2e2f9a4ede5fc">[email protected]</span></a>, or <a href="/cdn-cgi/l/email-protection#ace4effcefffeccfc1df82c4c4df82cbc3da"><span class="__cf_email__" data-cfemail="5c141f0c1f0f1c3f312f7234342f723b332a">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
I. Background
On December 21, 2000, Congress enacted the Medicare, Medicaid, and
State Children's Health Insurance Program (SCHIP) Benefits Improvement
and Protection Act of 2000 (BIPA) (Pub. L. 106-554). Section 531(b) of
BIPA mandated that the Secretary establish procedures that permit
public consultation for coding and payment determinations for new
durable medical equipment (DME) under Medicare Part B of title XVIII of
the Social Security Act (the Act). In the November 23, 2001 Federal
Register (66 FR 58743), we published a notice providing information
regarding the establishment of the annual public meeting process for
DME.
In 2020, we implemented changes to our HCPCS Level II coding
procedures, including the establishment of quarterly coding cycles for
drugs and biological products and biannual coding cycles for non-drug
and non-biological items and services.
In the December 28, 2021 Federal Register (86 FR 73860), we
published a final rule that established procedures for making Medicare
benefit category and payment determinations for new items and services
that are DME, prosthetic devices, orthotics and prosthetics,
therapeutic shoes and inserts, surgical dressings or splints, casts,
and other devices used for reductions of fractures and dislocations
under Medicare Part B.
II. Public Meeting Agendas
The list of topics for discussion, which will become available in
the upcoming days at <a href="https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings">https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings</a>, will identify the Centers for
Medicare & Medicaid Services (CMS) preliminary coding, Medicare benefit
category, and Medicare payment determinations, if applicable. In
establishing the public meeting agendas, CMS may group multiple related
code applications under the same agenda item. While both days will have
virtual access via Teams, the public meeting agenda order will be based
on prioritizing speakers who attend in person first, followed by agenda
items whose speakers are all attending virtually. While the list of
topics will already be made available, the public meeting agenda order
will become available on the CMS website sometime shortly after the
speaker registration deadline. We will only be discussing those topics
listed on the CMS website.
A. Overflow Procedures
If all of the agenda items are not addressed during the primary
meeting date specified in the DATES section of this notice, CMS will
hold a subsequent virtual-only session on the overflow meeting date
specified in the DATES section of this notice. We will proceed in the
order of the HCPCS Level II public meeting agenda, only discussing
those that were not addressed, until complete. We will not go back and
discuss any prior agenda items. Original registration will apply to the
overflow date. The link to the live stream of the public meeting will
be posted in the Guidelines for Participation in HCPCS Public Meetings
document on the CMS website.
III. Participation Categories
Every speaker must declare at the beginning of their presentation
during the meeting, as well as in their written summary, whether they
have any financial involvement with the applicant and manufacturer, if
different, of the item that is the subject of the HCPCS Level II
application, or with any competitors of that manufacturer with respect
to the item. This includes any payment, salary, remuneration, or
benefit provided to the speaker by the applicant, manufacturer, or any
such competitors.
A. Primary Speakers
Each applicant that submitted a HCPCS Level II code application
that will be discussed at the public meeting is permitted to designate
a primary speaker. Fifteen minutes is the total time interval for a
primary speaker per agenda item. Any unused time from the primary
speaker will be forfeited and cannot be delegated to another speaker.
Primary speakers must register as a
[[Page 19143]]
speaker and submit any supporting PowerPoint presentation by the
deadline specified in the DATES section of this notice. CMS will accept
PowerPoint presentations (maximum of 10 slides in PowerPoint
presentation format, not PDF) that are emailed to <a href="/cdn-cgi/l/email-protection#19515a495a4a597a746a3771716a377e766f"><span class="__cf_email__" data-cfemail="aee6edfeedfdeecdc3dd80c6c6dd80c9c1d8">[email protected]</span></a> by
the stated deadline. We will not play videos, transitions, or
animations during the public meeting session and request the speakers
exclude these materials from their PowerPoint presentation and instead
submit any relevant video or animation materials along with the written
comments. We request that speakers ensure the presentation does not
include any inappropriate or confidential content before submission.
Due to the timeframe needed for the planning and coordination of the
HCPCS Level II public meetings, materials that are not submitted
appropriately and in accordance with this deadline cannot be
accommodated.
B. 5-Minute Speakers
Any individual related to the public meeting agenda item, including
but not limited to an employee, competitor, insurer, public consumer,
or other interested party, may register as a 5-minute speaker by
deadline specified in the DATES section of this notice. Depending on
the availability of time, CMS may limit the number of 5-minute
speakers. However, we will ensure an array of interested parties are
represented if registered by the stated deadline. We will not accept
any other written materials, outside of the written comments, from a 5-
minute speaker (that is, 5-minutes speakers are not allowed to present
a PowerPoint presentation).
C. All Other Attendees
All individuals who plan to attend the public meetings to listen
and do not plan to speak may access the public meeting using the live
stream link posted on the HCPCS Level II website. Alternatively,
attendees can register online by the deadline specified in the DATES
section of this notice and attend the public meeting in person at CMS.
Individuals who require special assistance must register and
request special assistance services by the deadline specified in the
DATES section of this notice and contact the person specified in the
FOR FURTHER INFORMATION CONTACT section of this notice.
IV. Registration Requirements
The registration instructions for the HCPCS Level II public meeting
will be posted in the Guidelines for Participation in HCPCS Level II
Public Meetings document on the CMS website. All individuals who plan
to speak (15 or 5 minutes) at the public meeting or attend the meeting
in person must register by the deadline specified in the DATES section
of this notice. All of the following information must be provided when
registering:
<bullet> Name.
<bullet> Company name (if applicable).
<bullet> Email address.
<bullet> Topic item and application number (for speakers only).
<bullet> Whether the registrant will be attending in person or
virtually.
<bullet> Whether the registrant is a foreign national (for in-
person attendees only).
<bullet> Any special assistance requests.
<bullet> Whether the registrant is a primary speaker or a 5-minute
speaker for an agenda item.
<bullet> Whether the primary speaker will use a PowerPoint
presentation.
V. In-Person Information
All in-person attendees should monitor the website at <a href="https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings">https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings</a> for
additional information about accessing the building, as information is
subject to change. Only registered attendees with a valid government-
issued photo ID that meets the Real ID standards may enter the
building. For reference, visit <a href="https://www.dhs.gov/real-id">https://www.dhs.gov/real-id</a>. All foreign
national attendees must identify themselves at the time of
registration, as additional documentation may be required.
Vehicle screening is conducted and all persons in the vehicle must
present a valid ID. Visitors may only enter from Security Boulevard,
using the far-right entrance lane to the campus. Parking on campus is
increasingly limited, and visitors are not guaranteed a parking space
with registration. Visitors are encouraged to consider means of
arrival, such as public transportation, taxi, or other ride-share
arrangements. Visitors will be required to go through x-ray screening
similar to screening at a United States airport, or alternate
arrangements as instructed and permitted by security. A cafeteria is
available at CMS.
VI. Written Comments
The primary and 5-minute speaker(s) must email a brief, written
summary (one paragraph) of their comments and conclusions. Written
comments from anyone, including the primary and 5-minute speaker(s),
will only be accepted when emailed to the address specified in the
ADDRESSES section of this notice by the deadline specified in the DATES
section of this notice.
VII. Additional Information
All participants should regularly check the CMS website for updates
and final agenda information at <a href="https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings">https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings</a>.
The HCPCS section of the CMS website also includes details
regarding the public meeting process for new revisions to the HCPCS
Level II code set, including guidelines for an effective presentation.
The HCPCS section of the CMS website also contains a document titled
``HCPCS Level II Coding Procedures (PDF),'' which is a description of
the HCPCS Level II coding process, including a detailed explanation of
the procedures CMS uses to make HCPCS Level II coding determinations.
When CMS refers to a HCPCS Level II code or HCPCS Level II coding
application above, CMS may also be referring to circumstances when a
HCPCS Level II code has already been issued, but a Medicare benefit
category and/or payment has not been determined. CMS is working
diligently to address Medicare benefit category and payment
determinations for new items and services that may be DME, prosthetic
devices, orthotics and prosthetics, therapeutic shoes and inserts,
surgical dressings, or splints, casts, and other devices used for
reductions of fractures and dislocations under Medicare Part B.
VIII. Collection of Information Requirements
This document does not impose information collection requirements,
that is, reporting, recordkeeping, or third-party disclosure
requirements. Consequently, there is no need for review by the Office
of Management and Budget under the authority of the Paperwork Reduction
Act of 1995 (44 U.S.C. 3501 et seq.).
The Administrator of the Centers for Medicare & Medicaid Services
(CMS), Mehmet Oz, having reviewed and approved this document,
authorizes Trenesha Fultz-Mimms, who is the Federal Register Liaison,
to electronically sign this document for purposes of publication in the
Federal Register.
Trenesha Fultz-Mimms,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2026-07226 Filed 4-13-26; 8:45 am]
BILLING CODE 4120-01-P
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