Stock Markets July 6, 2026 09:42 AM

Orthofix Rally Follows Medicare Reversal on Bone Growth Stimulator Payments

CMS withdraws recent billing and fee schedule changes after FDA device reclassification, restoring prior Medicare payment treatment for key HCPCS codes

By Maya Rios
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OFIX

Shares of Orthofix Medical Inc. climbed sharply after the Centers for Medicare & Medicaid Services rescinded earlier changes to how non-invasive bone growth stimulators are billed and reimbursed. CMS directed that devices furnished on or after May 18, 2026 be processed and paid consistent with the treatment in effect before the Food and Drug Administration reclassified the devices, and Orthofix expects average Medicare payments for the relevant HCPCS codes to revert to prior rates.

Orthofix Rally Follows Medicare Reversal on Bone Growth Stimulator Payments
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Key Points

  • CMS withdrew recent billing and Medicare fee schedule changes for non-invasive bone growth stimulators on July 1, 2026.
  • Devices billed under HCPCS codes E0747, E0748 and E0760 are to be processed and paid consistent with treatment in effect prior to May 18, 2026.
  • Orthofix expects average Medicare reimbursement for these codes to return to pre-May 18, 2026 rates; the company’s stock rose 12% on the news.

Market reaction

Orthofix Medical Inc. (NASDAQ:OFIX) saw its stock rise 12% on Monday after the Centers for Medicare & Medicaid Services (CMS) issued revised guidance withdrawing recent modifications to billing requirements and Medicare fee schedule treatment for non-invasive bone growth stimulators.

Policy reversal details

On July 1, 2026, CMS announced that it was rescinding changes affecting the billing and Medicare payment treatment for non-invasive bone growth stimulators. The agency said the devices, billed under HCPCS codes E0747, E0748 and E0760, should be handled consistent with the way they were processed before the U.S. Food and Drug Administration reclassified these devices.

Those fee schedule and billing changes had been implemented after the FDA reclassified non-invasive bone growth stimulators from Class III to Class II devices on April 16, 2026. CMS had previously modified billing requirements in May, impacting devices furnished on or after May 18, 2026.

Under the new guidance, CMS directed that devices furnished on or after May 18, 2026 be processed and paid as they were prior to the FDA reclassification. Orthofix said it expects that average Medicare reimbursement for the three HCPCS codes will return to the rates in effect before May 18, 2026.

Business significance

Orthofix manufactures and distributes medical devices, including bone growth stimulators used in orthopedic care. Because Medicare reimbursement rates directly influence revenue from these products, the CMS decision has an immediate bearing on the company’s payment mix for patients covered by Medicare.


Context limitations

The guidance issued by CMS specifically references billing and fee schedule treatment for non-invasive bone growth stimulators billed under HCPCS codes E0747, E0748 and E0760, and the agency’s direction applies to devices furnished on or after May 18, 2026. The company’s expectation about reimbursement returning to prior rates is stated by Orthofix.

Implications for markets

The reversal is directly relevant to stakeholders in medical devices and healthcare reimbursement, and it produced a notable move in Orthofix’s share price when the guidance was announced.

Risks

  • Future changes in CMS billing guidance or Medicare fee schedules could again alter reimbursement levels, affecting revenue for medical device makers - impacts the healthcare and medical device sectors.
  • Regulatory actions such as FDA reclassification can trigger downstream payment and billing adjustments that create uncertainty in reimbursement timing and amounts - impacts healthcare providers and device manufacturers.
  • Orthofix’s revenue from bone growth stimulators is sensitive to Medicare reimbursement rates; shifts in those rates could materially affect product-level cash flows - impacts Orthofix and investors in medtech equities.

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