01/20/2026
CMS 2026 Skin Substitute Payment Changes: What Wound Care Providers Must Know
CMS’s 2026 updates to skin substitute payments are set to reshape wound care reimbursement. Providers must clearly understand these changes to protect margins, stay compliant and plan treatment strategies wisely.
✔ FDA-Based Grouping – Skin substitutes will be grouped based on FDA approval pathways, impacting how products are classified and reimbursed.
✔ No Wastage Payment – CMS will no longer reimburse for unused or discarded portions of skin substitute products.
✔ Flat Payment Model – Payments will move to a flat rate structure, regardless of product cost differences.
✔ Revenue Planning Required – Practices must reassess cost structures under the new payment model.
CMS 2026 skin substitute payment changes demand proactive adaptation from wound care providers. Understanding these rules early helps safeguard both compliance and revenue.
Read the blog: https://www.247medicalbillingservices.com/blog/cms-2026-skin-substitute-payment-changes-what-wound-care-providers-must-know
247 Medical Billing Services specializes in wound care and specialty billing with deep CMS expertise.
We help providers navigate payment changes while protecting reimbursement and compliance.
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