PayorTransparency

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.

  1. 2026-07-01

    CMS changes the short description carried alongside A4479

    Descriptor revised · low importance · A4479

  2. 2026-04-02

    CBIC publishes how CMS will get utilization data for codes with no history

    Policy article · normal importance · A4297

  3. 2026-04-01

    A4479 takes effect and enters the Bowel Management Devices policy

    Code added · high importance · A4479

  4. 2026-04-01

    LCD L33803 revised to version 61, with nothing changed for A4297

    LCD revision · low importance · A4297

  5. 2026-04-01

    CMS establishes a Medicare fee schedule amount for A4479

    Fee schedule · high importance · A4479

  6. 2026-01-01

    CMS strikes hydrophilic from the A4351 and A4352 descriptors

    Descriptor revised · normal importance · A4297, A4353

  7. 2026-01-01

    LCD revision 12 creates the 200-unit combined ceiling and the spinal cord injury example

    LCD revision · high importance · A4297, A4353

  8. 2026-01-01

    A4295, A4296 and A4297 take effect

    Code added · high importance · A4297

  9. 2025-12-31

    Last date of service for billing hydrophilic catheters under A4351, A4352 or A4353

    Code revised · high importance · A4297, A4353

  10. 2025-12-23

    Trade press summarises the code split, the revised descriptors and the order guidance

    Product news · low importance · A4297

  11. 2025-07-17

    DME MACs publish the documentation requirements, including the conditional order rule

    Policy article · high importance · A4297, A4353