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
End stage renal disease (ESRD) - 90999
Injection - J0897
Wound debridement - 11042
Inpatient rehabilitation facilities (IRF)
Intravenous immunoglobulin (IVIg)
End stage renal disease (ESRD)-
End stage renal disease (ESRD)- 90999