Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Speech Therapy \| AETNA Coverage Update	AETNA	Modified	Physical Medicine & Rehab	May 14, 2026
Inpatient Admission Prior to Surgery (Preop Days) \| AETNA Coverage Update	AETNA	Modified	General Surgery	May 14, 2026
Panniculectomy and Abdominoplasty - (0027) \| CIGNA Coverage Update	CIGNA	Modified	General Surgery	May 14, 2026
Surgical Treatments for Obstructive Sleep Apnea - (0158) \| CIGNA Coverage Update	CIGNA	Modified	Pulmonology	May 14, 2026
Otoplasty and External Ear Reconstruction - (0335) \| CIGNA Coverage Update	CIGNA	Modified	ENT / Otolaryngology	May 14, 2026
Plantar Fasciitis Treatments - (0097) \| CIGNA Coverage Update	CIGNA	Modified	Podiatry	May 13, 2026
Behavioral Health: Group Psychotherapy \| AETNA Coverage Update	AETNA	Modified	Behavioral Health	May 9, 2026
Scar Revision - (0328) \| CIGNA Coverage Update	CIGNA	Modified	Dermatology	May 9, 2026
Peripheral Nerve Destruction for Pain Conditions - (0525) \| CIGNA Coverage Update	CIGNA	Modified	Pain Management	May 9, 2026
Vitamin D Testing - (0526) \| CIGNA Coverage Update	CIGNA	Modified	Laboratory	May 9, 2026
Belantamab Mafodotin-blmf (Blenrep) \| AETNA Coverage Update	AETNA	Modified	Oncology	May 8, 2026
Zopapogene Imadenovec-drba (Papzimeos) \| AETNA Coverage Update	AETNA	Modified	Oncology	May 8, 2026
Therapeutic Drug Monitoring of Anti-Tumor Necrosis Factor Blocking Agents \| AETNA Coverage Update	AETNA	Modified	Oncology, Pharmacy	May 8, 2026
Median Arcuate Ligament Syndrome: Treatment \| AETNA Coverage Update	AETNA	Modified	Interventional Procedures	May 8, 2026
Remote Physiologic Monitoring (RPM) \| AETNA Coverage Update	AETNA	Modified	Primary Care	May 8, 2026
Knee Braces \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	May 8, 2026
Gemcitabine Intravesical System (Inlexzo) \| AETNA Coverage Update	AETNA	Modified	Urology & Nephrology	May 8, 2026
Plozasiran (Redemplo) \| AETNA Coverage Update	AETNA	Modified	Cardiology	May 8, 2026
Etuvetidigene Autotemcel (Waskyra) \| AETNA Coverage Update	AETNA	Modified	Hematology	May 8, 2026
Depemokimab-ulaa (Exdensur) \| AETNA Coverage Update	AETNA	Modified	Pulmonology	May 8, 2026
Narsoplimab-wuug (Yartemlea) \| AETNA Coverage Update	AETNA	Modified	Hematology	May 8, 2026
Positron Emission Tomography (PET) Scans - RETIRED — NCD 211 \| CMS Coverage Update	CMS	Modified	Radiology & Imaging	May 6, 2026
Abdominoplasty,Suction Lipectomy, and Ventral Hernia Repair \| AETNA Coverage Update	AETNA	Modified	General Surgery	May 2, 2026
Peripheral Atherectomy and Thrombectomy Devices \| AETNA Coverage Update	AETNA	Modified	Interventional Procedures	May 2, 2026
Clinical Diagnostic Laboratory Services – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Laboratory	May 2, 2026

Payer policy changesfor billing and compliance teams.

One missed policy change can cost thousands in denied claims.

Payer policy changes
for billing and compliance teams.