All current topics for review are listed below with the medical review Part A schedule for each round. We will notify the selected providers in writing with further details of the topic being reviewed, the reasons for selection which will be supported by data analysis, and the process of review.
Note: A status of an active review means there are currently reviews underway for the specific round and topic. A status of an inactive review means there are currently no active TPE reviews for the specific round and topic.
For additional information and specific educational resources, see the topic specific links below.
Topic and education
Round 1 edit #/ Review status
Round 2 edit #/ Review status
Round 3 edit #/ Review status
Checklist
Results
Therapy services
5H101 (Closed)
5H1A2 (Active)
5H2A1 (Closed)
End Stage Renal Disease (ESRD) - 90999
5H1Z1 (Closed)
5H172 (Active)
5H2Z1 (Closed)
5H3A1 (Closed)
Injection - J0897
5H1B1 (Closed)
Wound debridement - 11042
5H1W1 (Closed)
5H3Z1
(Closed)
5H4Z1
5H5Z1
Wound Debridement - 11042
5H2W1
Therapy Services
5H4A1
Inpatient Rehabilitation Facilities (IRF)
5H1R1
(closed)
5H5A1
(Active)
Coming soon
5H3W1
5H2R1
5H6A1 (Active)
5H7A1 (Active)
5H8A1 (Active)
5H3R1 (Active)
5H1C1
Coming Soon
5H4R1
5H2C1
Coming
Soon
Wound Debridement
5H4W1
Intravenous Immunoglobulin (IVIg)
5H1V1