2026 Medicare Reimbursement Rates for UltraMIST CPT Code 97610 Confirmed with Minimal Changes

The Centers for Medicare & Medicaid Services has finalized its physician payment schedule for 2026, delivering news that providers relying on advanced wound care solutions will want to closely review. The reimbursement landscape for CPT code 97610—the procedural code assigned to UltraMIST treatments—shows remarkable stability year-over-year, with rates holding within a tight $2-4 range compared to 2025 levels.

What the Final Rule Means for Healthcare Settings

The CMS 2026 fee schedule establishes payment structures across multiple clinical environments. Sanuwave Health, Inc., the company behind the UltraMIST platform, confirmed that reimbursement rates remain substantially consistent regardless of treatment location—whether services are delivered in physician offices, patient homes, long-term care facilities, or hospital settings. This consistency aligns with earlier regulatory proposals and reflects the agency’s measured approach to wound care procedure reimbursement.

Parsing the Numbers: Less Than 1% Adjustment Expected

The actual financial impact for most providers appears modest. Sanuwave leadership indicated that 2026 adjustments will likely fall below 1% for many practitioners, with some facilities potentially seeing marginal increases in their reimbursement received per UltraMIST CPT code 97610 procedure. This represents a departure from volatility observed in other wound care reimbursement categories this cycle, providing planning certainty for medical practices.

Strategic Significance for the Wound Care Market

The stability of UltraMIST CPT code 97610 reimbursement rates signals CMS recognition of this technology’s clinical value in the broader wound care ecosystem. As other related procedures faced more significant rate fluctuations, the decision to maintain consistent payment levels suggests institutional confidence in the procedure’s efficacy and appropriateness for Medicare populations.

For providers operating across multiple care settings, the uniform reimbursement approach eliminates variables that might otherwise complicate financial forecasting, allowing more straightforward budget planning for 2026 operational expenses and service expansion.