Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Irreversible Electroporation (NanoKnife) — CPB 0828 \| AETNA Coverage Update	AETNA	Modified	Interventional Procedures	Mar 4, 2026
Optical Coherence Tomography and Microelastography for Solid Tumors and Other Selected Indications — CPB 0886 \| AETNA Coverage Update	AETNA	Modified	Oncology	Mar 4, 2026
Cardiac Contractility Modulation (CCM) Therapy — CPB 0930 \| AETNA Coverage Update	AETNA	Modified	Cardiology	Mar 4, 2026
Drug Testing in Pain Management and Substance Use Disorder Treatment — CPB 0965 \| AETNA Coverage Update	AETNA	Modified	Pain Management, Pharmacy	Mar 4, 2026
Influenza Vaccines — CPB 0035 \| AETNA Coverage Update	AETNA	Modified	Infectious Disease	Mar 3, 2026
Pneumococcal Vaccines — CPB 0037 \| AETNA Coverage Update	AETNA	Modified	Infectious Disease	Mar 3, 2026
Cold Laser and High-Power Laser Therapies — CPB 0363 \| AETNA Coverage Update	AETNA	Modified	Pain Management	Mar 3, 2026
Ambulatory Electroencephalography — CPB 0425 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Mar 3, 2026
Headaches: Nonsurgical Management — CPB 0462 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Mar 3, 2026
Vaccines for Travel — CPB 0473 \| AETNA Coverage Update	AETNA	Modified	Infectious Disease	Mar 3, 2026
Liver Transplantation — CPB 0596 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Mar 3, 2026
Hearing Aids — CPB 0612 \| AETNA Coverage Update	AETNA	Modified	ENT / Otolaryngology	Mar 3, 2026
Prostate Biopsy — CPB 0698 \| AETNA Coverage Update	AETNA	Modified	Oncology, Urology & Nephrology	Mar 3, 2026
Carfilzomib (Kyprolis) — CPB 0845 \| AETNA Coverage Update	AETNA	Modified	Oncology	Mar 3, 2026
Elotuzumab (Empliciti) — CPB 0899 \| AETNA Coverage Update	AETNA	Modified	Oncology	Mar 3, 2026
Daratumumab (Darzalex) and Daratumumab and Hyaluronidase-fihj (Darzalex Faspro) — CPB 0904 \| AETNA Coverage Update	AETNA	Modified	Hematology	Mar 3, 2026
Isatuximab-irfc (Sarclisa) - CPB - 0969 — CPB 0969 \| AETNA Coverage Update	AETNA	Modified	Oncology	Mar 3, 2026
Gastroesophageal and Gastrointestinal (GI) Services and Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Gastroenterology	Mar 2, 2026
Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Cardiology	Mar 2, 2026
Pharmacogenomics Testing – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Laboratory	Mar 2, 2026
Radiation and Oncologic Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Oncology	Mar 2, 2026
Radiologic Diagnostic Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Radiology & Imaging	Mar 2, 2026
Sleep Apnea Surgical Treatments – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Pulmonology	Mar 2, 2026
Surgical Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	General Surgery	Mar 2, 2026
Urinary and Fecal Incontinence: Diagnosis and Treatment – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Urology & Nephrology	Mar 2, 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.