Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Chelation Therapy for Treatment of Atherosclerosis \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
Gastric Freezing \| CMS Coverage Update	CMS	Modified	Gastroenterology	May 15, 2026
Treatment of Psoriasis \| CMS Coverage Update	CMS	Modified	Dermatology	May 15, 2026
Melodic Intonation Therapy \| CMS Coverage Update	CMS	Modified	Physical Medicine & Rehab	May 15, 2026
Phaco-Emulsification Procedure - Cataract Extraction \| CMS Coverage Update	CMS	Modified	Ophthalmology	May 15, 2026
Serum Iron Studies \| CMS Coverage Update	CMS	Modified	Laboratory	May 15, 2026
Closed-Loop Blood Glucose Control Device (CBGCD) \| CMS Coverage Update	CMS	Modified	Endocrinology	May 15, 2026
Nonselective (Random) Transfusions and Living Related Donor Specific Transfusions (DST) in Kidney Transplantation \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	May 15, 2026
Electrotherapy for Treatment of Facial Nerve Paralysis (Bell's Palsy) \| CMS Coverage Update	CMS	Modified	ENT / Otolaryngology	May 15, 2026
Injection Sclerotherapy for Esophageal Variceal Bleeding \| CMS Coverage Update	CMS	Modified	Gastroenterology	May 15, 2026
Collagen Crosslinks, any Method \| CMS Coverage Update	CMS	Modified	Laboratory	May 15, 2026
External Counterpulsation (ECP) Therapy for Severe Angina \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
Blood Glucose Testing \| CMS Coverage Update	CMS	Modified	Endocrinology	May 15, 2026
Intraoperative Ventricular Mapping \| CMS Coverage Update	CMS	Modified	Cardiology	May 15, 2026
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
Behavioral Health: Group Psychotherapy \| AETNA Coverage Update	AETNA	Modified	Behavioral Health	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

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.