National Coverage Determinations

This page outlines Medicare’s coverage decisions and policy changes. These disclosures explain how National Coverage Determinations (NCD) guide benefits and services for members.
 

CoverageEffective DateChange Notification
Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management01/13/2025NCD - Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management (20.36)
Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD)06/09/2025NCD - Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD) (240.9)
Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention09/30/2024NCD - Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention (210.15)
Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER)07/02/2025NCD - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER) (20.38)
Transcatheter Tricuspid Valve Replacement (TTVR)03/19/2025NCD - Transcatheter Tricuspid Valve Replacement (TTVR) (20.37)