Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Vitamin D Testing – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Laboratory	Mar 2, 2026
Bone Growth Stimulators — CPB 0343 \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Mar 1, 2026
Drug-Eluting Devices for Use Following Endoscopic Sinus Surgery - (0481) — MM 0481 \| CIGNA Coverage Update	CIGNA	Modified	ENT / Otolaryngology, Pharmacy	Feb 28, 2026
Obesity Surgery — CPB 0157 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Feb 27, 2026
Cognitive Rehabilitation — CPB 0214 \| AETNA Coverage Update	AETNA	Modified	Physical Medicine & Rehab	Feb 27, 2026
Distraction Osteosynthesis — CPB 0220 \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Feb 27, 2026
Cardiac Computed Tomography (CT), Coronary CT Angiography,Calcium Scoring and CT Fractional Flow Reserve — CPB 0228 \| AETNA Coverage Update	AETNA	Modified	Radiology & Imaging, Cardiology	Feb 27, 2026
Angioplasty and Stenting of Extra-Cranial and Intra-Cranial Arteries — CPB 0276 \| AETNA Coverage Update	AETNA	Modified	Cardiology, Neurology & Neurosurgery	Feb 27, 2026
Hip Arthroplasty — CPB 0287 \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Feb 27, 2026
Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy — CPB 0290 \| AETNA Coverage Update	AETNA	Modified	Oncology	Feb 27, 2026
Peripheral Atherectomy and Thrombectomy Devices — CPB 0295 \| AETNA Coverage Update	AETNA	Modified	Interventional Procedures	Feb 27, 2026
Implantable Hormone Pellets — CPB 0345 \| AETNA Coverage Update	AETNA	Modified	Endocrinology	Feb 27, 2026
Flow Cytometry, Ektacytometry, DNA Ploidy, and S-phase Fraction — CPB 0351 \| AETNA Coverage Update	AETNA	Modified	Laboratory	Feb 27, 2026
Electroconvulsive Therapy — CPB 0445 \| AETNA Coverage Update	AETNA	Modified	Behavioral Health	Feb 27, 2026
Transcranial Magnetic Stimulation and Cranial Electrical Stimulation — CPB 0469 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Feb 27, 2026
Tourette Syndrome — CPB 0480 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Feb 27, 2026
Radiation Treatment for Selected Nononcologic Indications — CPB 0551 \| AETNA Coverage Update	AETNA	Modified	Oncology	Feb 27, 2026
Anesthetic and Antiemetic Infusion Pumps — CPB 0607 \| AETNA Coverage Update	AETNA	Modified	DME & Home Health	Feb 27, 2026
Fecal Incontinence — CPB 0611 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Feb 27, 2026
Huntington's Disease — CPB 0614 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Feb 27, 2026
Gastrointestinal Manometry — CPB 0616 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Feb 27, 2026
Drug-Eluting Stents — CPB 0621 \| AETNA Coverage Update	AETNA	Modified	Cardiology, Pharmacy	Feb 27, 2026
Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant) — CPB 0634 \| AETNA Coverage Update	AETNA	Modified	Hematology	Feb 27, 2026
Ventricular Assist Devices — CPB 0654 \| AETNA Coverage Update	AETNA	Modified	Cardiology	Feb 27, 2026
Unicompartmental, Bicompartmental, and Bi-unicompartmental Knee Arthroplasties — CPB 0660 \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Feb 27, 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.