Traditional MedicareBilling CodesMedium impact
2026-02-05 - Hospitals: Submit Data for OPPS Drug Acquisition Cost Survey by March 31
Medicare/CMS·Nephrology, General Surgery, Psychiatry +2 more·Payment
Effective date
Jan 1, 2026
We identified it
Feb 5, 2026
Summary
The MLN Connects newsletter for February 5, 2026 announces multiple billing updates including a March 31 deadline for hospitals to submit drug acquisition cost data, elimination of AX modifier requirements for ESRD facilities starting July 2026, and new HCPCS codes for behavioral health integration services effective January 2026.
Action Required
By March 31, 2026 11:59 PM ET: Hospitals paid under OPPS must submit drug acquisition cost data via the ODACS survey if listed on the provider table. By July 1, 2026: ESRD facilities must stop using AX modifier on eligible claims and implement new billing instructions for hemodiafiltration and acute kidney injury. Immediately: Update billing systems to use new HCPCS codes G2214, 99492-99494 instead of discontinued G0512 for psychiatric collaborative care, and codes G2010, G2250, 98016 instead of G0071 for virtual communication services. Add new code G9871 for Medicare Diabetes Prevention Program and updated G0136 description for annual wellness visits.