CMS’s CY2026 Physician Fee Schedule final rule changed how skin substitutes are paid. Coverage has moved too: the Medicare Administrative Contractors (MACs) withdrew the unified skin substitute local coverage determinations (LCDs) for diabetic foot ulcers (DFUs)...
Payers, MACs, and IDN value analysis committees increasingly discount trial-only claims for CTPs/CAMPs, NPWT, and advanced dressings. A single RCT with a closure endpoint, run in a narrow population, rarely answers the questions a policy reviewer or auditor actually...