CMS pushes back new skin-substitute coverage rules to Jan 1, 2026

CMS pushes back new skin-substitute coverage rules to Jan 1, 2026
Jan 01, 2025
Centers for Medicare & Medicaid Services (CMS)
5 min read
Policy & Reimbursement

The Centers for Medicare & Medicaid Services (CMS) has delayed the effective date of its Local Coverage Determinations (LCDs) for skin substitute grafts—impacting placental allografts—until January 1, 2026, citing a broader review to maintain patient access

In April 2025, CMS announced it is reviewing coverage policies for skin substitute products, delaying the effective date of the Skin Substitute Grafts/Cellular and Tissue-Based Products (CTPs) LCDs to January 1, 2026. For providers and patients using placental allografts (e.g., amnion/chorion), the decision preserves the status quo on Medicare coverage in the near term while the agency evaluates evidence standards and access implications. Policy stakeholders note that the delay gives wound-care clinics and manufacturers additional time to plan for reimbursement changes and documentation requirements likely to accompany any finalized LCDs.

Tags: CMS Medicare LCD Reimbursement Skin Substitutes Placental Allografts Wound Care

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