When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...

For years, debate around endoscopic spine surgery centered on whether the technique was ready for broad adoption. Questions about safety, durability, and outcomes dominated discussions among surgeons, ...

In recent days, Inspire Medical Systems has been hit by Medicare contractors Noridian and CGS unexpectedly removing CPT code 64568 for hypoglossal nerve stimulation, forcing providers toward an ...

The Medicare Administrative Contractor WPS just removed the CPT code 64568 from its list of approved billing codes, according to an update posted ...

Two Medicare Administrative Contractors, Noridian and CGS, have removed the use of CPT code 64568 from their billing/coding page for Hypoglossal ...

Inspire Medical (INSP) stock falls as the firm faces potential Medicare reimbursement cuts for its Gen 5 sleep apnea device ...

Sight Sciences stock surged on Medicare coverage for TearCare—opening a big dry eye market. Learn more about the company.

Endoscopic spine surgery is reaching a pivotal moment in adoption in the U.S., and it’s well-suited for ASCs. However reimbursement remains a key hurdle for growth. Multiple hospitals and practices ...

The United States accounts for a significant share of the global remote patient monitoring (RPM) market. The U.S. RPM market ...

Austin pain specialist Dr. Mark Malone and his practice, Advanced Pain Care, have agreed to shell out $13.6 million to resolve federal and state allegations that the clinic billed Medicare, TRICARE, ...

Over the last decade, the growing disparity between declining professional fee CPT reimbursements and hospital-based ...