Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Breast Implant Removal - (0048) \| CIGNA Coverage Update	CIGNA	Modified	General Surgery	Apr 16, 2026
Allergy Testing and Non-Pharmacologic Treatment - (0070) \| CIGNA Coverage Update	CIGNA	Modified	Primary Care	Apr 16, 2026
Tumor In Vitro Chemosensitivity and Chemoresistance Assays - (0203) \| CIGNA Coverage Update	CIGNA	Modified	Oncology	Apr 16, 2026
Bone Mineral Density Measurement - (0300) \| CIGNA Coverage Update	CIGNA	Modified	Endocrinology	Apr 16, 2026
Liver and Liver-Kidney Transplantation - (0355) \| CIGNA Coverage Update	CIGNA	Modified	Gastroenterology, Urology & Nephrology	Apr 16, 2026
Category III Current Procedural Terminology (CPT®) Codes - (0558) \| CIGNA Coverage Update	CIGNA	Modified	General / Multi-Specialty	Apr 16, 2026
Antineoplaston Therapy \| AETNA Coverage Update	AETNA	Modified	Oncology	Apr 14, 2026
Nivolumab Products (Opdivo, Opdivo Qvantig, and Opdualag) \| AETNA Coverage Update	AETNA	Modified	Oncology	Apr 11, 2026
Sinus Surgeries \| AETNA Coverage Update	AETNA	Modified	ENT / Otolaryngology	Apr 11, 2026
Follitropins and Menotropins \| AETNA Coverage Update	AETNA	Modified	OB/GYN	Apr 11, 2026
Elivaldogene Autotemcel (Skysona) \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Apr 9, 2026
Routine Foot Care \| AETNA Coverage Update	AETNA	Modified	Podiatry	Apr 8, 2026
Ixabepilone (Ixempra) \| AETNA Coverage Update	AETNA	Modified	Oncology	Apr 8, 2026
Network Adequacy Provision (NAP) - (UM-20) \| CIGNA Coverage Update	CIGNA	Modified	General / Multi-Specialty	Apr 7, 2026
Eculizumab \| AETNA Coverage Update	AETNA	Modified	Hematology	Apr 2, 2026
Crovalimab-akkz (PiaSky) - 1064 \| AETNA Coverage Update	AETNA	Modified	Hematology	Apr 2, 2026
Nipocalimab-aahu (Imaavy) \| AETNA Coverage Update	AETNA	Modified	Rheumatology	Apr 2, 2026
Category III CPT Codes – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	General / Multi-Specialty	Apr 2, 2026
Reflex Sympathetic Dystrophy Diagnosis \| AETNA Coverage Update	AETNA	Modified	Pain Management	Apr 1, 2026
Infusion Pumps \| AETNA Coverage Update	AETNA	Modified	DME & Home Health	Apr 1, 2026
Deep Brain Stimulation \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Mar 28, 2026
Tumor Markers \| AETNA Coverage Update	AETNA	Modified	Oncology	Mar 28, 2026
Gout \| AETNA Coverage Update	AETNA	Modified	Rheumatology	Mar 28, 2026
Conversion of Anti-Coagulants to Heparin Before and After Elective Surgery — CPB 0200 \| AETNA Coverage Update	AETNA	Modified	Hematology	Mar 26, 2026
Enfuvirtide (Fuzeon) — CPB 0671 \| AETNA Coverage Update	AETNA	Modified	Infectious Disease	Mar 26, 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.