CMS Latest News & Updates

Seasonal Flu Vaccine Pricing for 2025–2026 Season: 

Get payment allowances and effective dates for the 2025–2026 season.

More Information:

• Flu Shot webpage: frequency, coverage, billing, codes, and resources

• Instruction to your Medicare Administrative Contractor (PDF)

Medicare Preventive Services Updates — Revised in August

CMS recently added information:

Alcohol misuse screening and counseling: 

• Crisis support contact information
• Safety planning for patients at risk for suicide
• Follow-up contacts intervention

Counseling to prevent tobacco use: 

• ICD-10 code Z72.0 effective October 1, 2024

Depression screening:

• Crisis support contact information
• Safety planning for patients at risk for suicide
• Follow-up contacts intervention

Hepatitis C screening: 

• HCPCS code G0567 effective June 27, 2024

PrEP using antiretroviral therapy to prevent HIV infection: 

• Information about lenacapavir

FAQ: 

• Billing the office and outpatient evaluation and management visit complexity add-on HCPCS code G2211 with Medicare Part B preventive services

HHS Drives Reform to Restore Patient-Centered Care, Announces Request for Nominations of Members to Serve on Federal Healthcare Advisory Committee

HHS and CMS are establishing the Healthcare Advisory Committee—a group of experts charged with delivering strategic recommendations directly to HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Dr. Mehmet Oz to improve how care is financed and delivered across Medicare, Medicaid and the Children's Health Insurance Program, and the Health Insurance Marketplace.

Read the full press release.

ICD-10 & Other Coding Revisions to National Coverage Determinations: January 2026 Update

Learn about new or deleted ICD-10 diagnosis codes effective January 1, 2026. See update 1 of 2 (PDF) and 2 of 2 (PDF).