Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Transrectal Ultrasound — CPB 0001 \| AETNA Coverage Update	AETNA	Modified	Radiology & Imaging	Mar 7, 2026
Apnea Monitors for Infants — CPB 0003 \| AETNA Coverage Update	AETNA	Modified	Pulmonology	Mar 7, 2026
Obstructive Sleep Apnea in Adults — CPB 0004 \| AETNA Coverage Update	AETNA	Modified	Pulmonology	Mar 7, 2026
Erectile Dysfunction and Peyronie's disease — CPB 0007 \| AETNA Coverage Update	AETNA	Modified	Urology & Nephrology	Mar 7, 2026
Continuous Passive Motion (CPM) Machines — CPB 0010 \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Mar 7, 2026
Cochlear Implants and Auditory Brainstem Implants — CPB 0013 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery, ENT / Otolaryngology	Mar 7, 2026
Injectable Medications — CPB 0020 \| AETNA Coverage Update	AETNA	Modified	Pharmacy	Mar 7, 2026
Pulmonary Rehabilitation — CPB 0032 \| AETNA Coverage Update	AETNA	Modified	Pulmonology, Physical Medicine & Rehab	Mar 7, 2026
Peripheral Nerve Destruction for Pain Conditions - (0525) — MM 0525 \| CIGNA Coverage Update	CIGNA	Modified	Pain Management	Mar 7, 2026
Glycated Hemoglobin/Glycated Protein — NCD 100 \| CMS Coverage Update	CMS	Modified	Endocrinology	Mar 7, 2026
Thyroid Testing — NCD 101 \| CMS Coverage Update	CMS	Modified	Endocrinology	Mar 7, 2026
Lipid Testing — NCD 102 \| CMS Coverage Update	CMS	Modified	Laboratory	Mar 7, 2026
Digoxin Therapeutic Drug Assay — NCD 103 \| CMS Coverage Update	CMS	Modified	Pharmacy	Mar 7, 2026
Diagnostic Endocardial Electrical Stimulation (Pacing) — NCD 104 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 7, 2026
Anesthesia in Cardiac Pacemaker Surgery — NCD 105 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 7, 2026
Treatment of Kidney Stones — NCD 106 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	Mar 7, 2026
Pancreas Transplants — NCD 107 \| CMS Coverage Update	CMS	Modified	Gastroenterology	Mar 7, 2026
24-Hour Ambulatory Esophageal pH Monitoring — NCD 108 \| CMS Coverage Update	CMS	Modified	Gastroenterology	Mar 7, 2026
Implantable Cardioverter Defibrillators (ICDs) — NCD 110 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 7, 2026
Gastric Balloon for Treatment of Obesity - RETIRED — NCD 111 \| CMS Coverage Update	CMS	Modified	Gastroenterology	Mar 7, 2026
Heart Transplants — NCD 112 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 7, 2026
Extracorporeal Photopheresis — NCD 113 \| CMS Coverage Update	CMS	Modified	Hematology	Mar 7, 2026
Laparoscopic Cholecystectomy — NCD 116 \| CMS Coverage Update	CMS	Modified	General Surgery	Mar 7, 2026
Transcendental Meditation — NCD 117 \| CMS Coverage Update	CMS	Modified	Dental	Mar 7, 2026
Carcinoembryonic Antigen — NCD 118 \| CMS Coverage Update	CMS	Modified	Oncology	Mar 7, 2026

Policy updates for healthcarebilling and compliance teams.

One missed policy change can cost thousands in denied claims.

Policy updates for healthcare
billing and compliance teams.