PayerPolicy
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Payer policy changes
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Every Aetna, Cigna, CMS, and UnitedHealthcare change, summarized weekly for your specialty.

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1532 updates
Policy Payer Type Specialty Date
Verteporfin | CMS Coverage Update CMS Modified Ophthalmology May 15, 2026
Diagnostic Pap Smears - RETIRED | CMS Coverage Update CMS Modified OB/GYN May 15, 2026
Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs | CMS Coverage Update CMS Modified Primary Care May 15, 2026
Intensive Behavioral Therapy for Obesity | CMS Coverage Update CMS Modified Primary Care May 15, 2026
Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) | CMS Coverage Update CMS Modified Pain Management May 15, 2026
Transcatheter Aortic Valve Replacement (TAVR) | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Beta Amyloid Positron Tomography in Dementia and Neurodegenerative Disease (RETIRED) | CMS Coverage Update CMS Modified Neurology & Neurosurgery May 15, 2026
Single Chamber and Dual Chamber Permanent Cardiac Pacemakers | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Percutaneous Image-Guided Lumbar Decompression for Lumbar Spinal Stenosis | CMS Coverage Update CMS Modified Orthopedics & Spine May 15, 2026
Cardiac Rehabilitation Programs for Chronic Heart Failure | CMS Coverage Update CMS Modified Cardiology, Physical Medicine & Rehab May 15, 2026
Cardiac Rehabilitation Programs - RETIRED | CMS Coverage Update CMS Modified Cardiology, Physical Medicine & Rehab May 15, 2026
Ventricular Assist Devices | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Screening for Hepatitis C Virus (HCV) in Adults | CMS Coverage Update CMS Modified Gastroenterology, Infectious Disease, Primary Care May 15, 2026
Benson-Henry Institute Cardiac Wellness Program | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Transcatheter Edge-to-Edge Repair (TEER) for Mitral Valve Regurgitation | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Screening for Cervical Cancer with Human Papillomavirus (HPV) | CMS Coverage Update CMS Modified Oncology, Orthopedics & Spine, Primary Care May 15, 2026
Stem Cell Transplantation (Formerly 110.8.1) | CMS Coverage Update CMS Modified Hematology May 15, 2026
Percutaneous Left Atrial Appendage Closure (LAAC) | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Gender Dysphoria and Gender Reassignment Surgery | CMS Coverage Update CMS Modified Behavioral Health May 15, 2026
Screening for Hepatitis B Virus (HBV) Infection | CMS Coverage Update CMS Modified Gastroenterology, Infectious Disease, Primary Care May 15, 2026
Leadless Pacemakers | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) | CMS Coverage Update CMS Modified Cardiology May 15, 2026
Next Generation Sequencing (NGS) | CMS Coverage Update CMS Modified Laboratory May 15, 2026
Acupuncture for Chronic Lower Back Pain (cLBP) | CMS Coverage Update CMS Modified Pain Management May 15, 2026
Chimeric Antigen Receptor (CAR) T-cell Therapy | CMS Coverage Update CMS Modified Hematology May 15, 2026

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