Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
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
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
Ear, Nose, and Throat Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	ENT / Otolaryngology	May 2, 2026
Lymphedema \| AETNA Coverage Update	AETNA	Modified	DME & Home Health	Apr 29, 2026
Plantar Fasciitis Treatments \| AETNA Coverage Update	AETNA	Modified	Podiatry	Apr 29, 2026
Retifanlimab-dlwr (Zynyz) \| AETNA Coverage Update	AETNA	Modified	Oncology	Apr 29, 2026
Human Fibrinogen Concentrate (RiaSTAP and Fibryga) \| AETNA Coverage Update	AETNA	Modified	Hematology	Apr 29, 2026
Clotting Factors \| AETNA Coverage Update	AETNA	Modified	Hematology	Apr 24, 2026
Indications, Dosages and Administration of FDA-Approved Drugs \| AETNA Coverage Update	AETNA	Modified	Pharmacy	Apr 24, 2026
Chronic Pain Programs \| AETNA Coverage Update	AETNA	Modified	Pain Management	Apr 24, 2026
Chronic Vertigo \| AETNA Coverage Update	AETNA	Modified	ENT / Otolaryngology	Apr 24, 2026
Graves' Ophthalmopathy Treatments \| AETNA Coverage Update	AETNA	Modified	Ophthalmology	Apr 24, 2026
Home Health Aides \| AETNA Coverage Update	AETNA	Modified	DME & Home Health	Apr 23, 2026
Robotic-assisted Rehabilitation of the Extremities \| AETNA Coverage Update	AETNA	Modified	Physical Medicine & Rehab	Apr 23, 2026
Amivantamab-vmjw (Rybrevant) \| AETNA Coverage Update	AETNA	Modified	Oncology	Apr 23, 2026
Infant Nutritional Formula - (0136) \| CIGNA Coverage Update	CIGNA	Modified	Gastroenterology	Apr 22, 2026
Grid Monitoring and Intraoperative Electroencephalography \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Apr 18, 2026
Romidepsin \| AETNA Coverage Update	AETNA	Modified	Oncology	Apr 18, 2026
Electrical Stimulation for Pain \| AETNA Coverage Update	AETNA	Modified	Pain Management	Apr 17, 2026
Authorized Generics \| CIGNA Coverage Update	CIGNA	Modified	Pharmacy	Apr 16, 2026
Home Traction Devices - Cervical and Lumbar \| CIGNA Coverage Update	CIGNA	Modified	Orthopedics & Spine	Apr 16, 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.