Reimbursement Policy Updates

Oct. 20, 2026

Reimbursement policies, formerly known as clinical payment and coding policies, describe payment rules and methodologies for Current Procedural Terminology (CPT^®) codes, Healthcare Common Procedure Coding System and ICD-10 coding for claims submitted as covered services. This information is a resource for our payment policies. It’s not intended to address all reimbursement-related issues. We regularly add and modify coding and compensation policy positions as part of our ongoing policy review process.   

The following policies were updated:

• RP001 Observation Services Policy, effective Dec. 31, 2026
• RP029 Medical Record Documentation, effective Oct. 2, 2026
• RP040 Physical Medicine and Rehabilitation Services, effective Dec. 31, 2026
• RP032 Intraoperative Neurophysiology Monitoring (IONM) Policy, effective Oct. 9, 2026

CPT copyright 2025 American Medical Association. CPT is a registered trademark of the AMA. 

Reimbursement policies are based on using healthcare professionals and industry standard guidelines. The coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.