Changelog
A dated record of what has changed in the codes this hub covers, and in the Medicare policy that governs them. One entry per change, each carrying the date it was announced, the date it takes effect where those differ, the codes it bears on, and the documents it was read from.
This is not yet a record of everything that has changed. The entries here were written because a code page needed them, so they cover the January 2026 urological code split, the April 2026 bowel management additions and the policy revisions around both. Older changes, and changes to codes with no page here yet, have not been written up.
An entry keeps its address. Where a later document overtakes an earlier one, the earlier entry says so and links the one that replaced it rather than disappearing, because a link to it may already have been shared.
2026-07-01
CMS changes the short description carried alongside A4479
Descriptor revised · low importance · A4479
2026-04-02
CBIC publishes how CMS will get utilization data for codes with no history
Policy article · normal importance · A4297
2026-04-01
A4479 takes effect and enters the Bowel Management Devices policy
Code added · high importance · A4479
2026-04-01
LCD L33803 revised to version 61, with nothing changed for A4297
LCD revision · low importance · A4297
2026-04-01
CMS establishes a Medicare fee schedule amount for A4479
Fee schedule · high importance · A4479
2026-01-01
CMS strikes hydrophilic from the A4351 and A4352 descriptors
Descriptor revised · normal importance · A4297, A4353
2026-01-01
LCD revision 12 creates the 200-unit combined ceiling and the spinal cord injury example
LCD revision · high importance · A4297, A4353
2026-01-01
A4295, A4296 and A4297 take effect
Code added · high importance · A4297
2025-12-31
Last date of service for billing hydrophilic catheters under A4351, A4352 or A4353
Code revised · high importance · A4297, A4353
2025-12-23
Trade press summarises the code split, the revised descriptors and the order guidance
Product news · low importance · A4297
2025-07-17
DME MACs publish the documentation requirements, including the conditional order rule
Policy article · high importance · A4297, A4353