Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Phaco-Emulsification Procedure - Cataract Extraction — NCD 9 \| CMS Coverage Update	CMS	Modified	Ophthalmology	Mar 12, 2026
Serum Iron Studies — NCD 90 \| CMS Coverage Update	CMS	Modified	Laboratory	Mar 12, 2026
Closed-Loop Blood Glucose Control Device (CBGCD) — NCD 92 \| CMS Coverage Update	CMS	Modified	Endocrinology	Mar 12, 2026
Nonselective (Random) Transfusions and Living Related Donor Specific Transfusions (DST) in Kidney Transplantation — NCD 93 \| CMS Coverage Update	CMS	Modified	Urology & Nephrology	Mar 12, 2026
Electrotherapy for Treatment of Facial Nerve Paralysis (Bell's Palsy) — NCD 94 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	Mar 12, 2026
Injection Sclerotherapy for Esophageal Variceal Bleeding — NCD 95 \| CMS Coverage Update	CMS	Modified	Gastroenterology	Mar 12, 2026
Collagen Crosslinks, any Method — NCD 96 \| CMS Coverage Update	CMS	Modified	Laboratory	Mar 12, 2026
External Counterpulsation (ECP) Therapy for Severe Angina — NCD 97 \| CMS Coverage Update	CMS	Modified	Cardiology	Mar 12, 2026
Blood Glucose Testing — NCD 98 \| CMS Coverage Update	CMS	Modified	Endocrinology	Mar 12, 2026
Intraoperative Ventricular Mapping — NCD 99 \| CMS Coverage Update	CMS	Modified	Neurology & Neurosurgery	Mar 12, 2026
Transrectal Ultrasound \| AETNA Coverage Update	AETNA	Modified	Radiology & Imaging	Mar 7, 2026
Apnea Monitors for Infants \| AETNA Coverage Update	AETNA	Modified	DME & Home Health	Mar 7, 2026
Obstructive Sleep Apnea in Adults \| AETNA Coverage Update	AETNA	Modified	Pulmonology	Mar 7, 2026
Erectile Dysfunction and Peyronie's disease \| AETNA Coverage Update	AETNA	Modified	Urology & Nephrology	Mar 7, 2026
Continuous Passive Motion (CPM) Machines \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Mar 7, 2026
Cochlear Implants and Auditory Brainstem Implants \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery, ENT / Otolaryngology	Mar 7, 2026
Injectable Medications \| AETNA Coverage Update	AETNA	Modified	Pharmacy	Mar 7, 2026
Pulmonary Rehabilitation \| AETNA Coverage Update	AETNA	Modified	Pulmonology, Physical Medicine & Rehab	Mar 7, 2026
Intraoperative Neurophysiological Monitoring — CPB 0697 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Mar 6, 2026
Secukinumab (Cosentyx) — CPB 0905 \| AETNA Coverage Update	AETNA	Modified	Rheumatology	Mar 5, 2026
Mirikizumab-mrkz (Omvoh) — CPB 1048 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Mar 5, 2026
Datopotamab Deruxtecan-dlnk (Datroway) — CPB 1078 \| AETNA Coverage Update	AETNA	Modified	Oncology	Mar 5, 2026
Eyelid Surgery — CPB 0084 \| AETNA Coverage Update	AETNA	Modified	Ophthalmology	Mar 4, 2026
Antepartum Fetal Surveillance — CPB 0088 \| AETNA Coverage Update	AETNA	Modified	OB/GYN	Mar 4, 2026
Carotid Sinus Stimulation for Hypertension — CPB 0820 \| AETNA Coverage Update	AETNA	Modified	ENT / Otolaryngology	Mar 4, 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.