Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Lymphedema and Lipedema Surgical Treatments - (0531) — MM 0531 \| CIGNA Coverage Update	CIGNA	Modified	General Surgery	Feb 14, 2026
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551) — MM 0551 \| CIGNA Coverage Update	CIGNA	Modified	Pain Management	Feb 14, 2026
Cardiac Omnibus Codes - (0574) — MM 0574 \| CIGNA Coverage Update	CIGNA	Modified	Cardiology	Feb 14, 2026
Calcitriol, Etelcalcetide, and Paricalcitol Injections — CPB 0022 \| AETNA Coverage Update	AETNA	Modified	Endocrinology	Feb 13, 2026
Chelation Therapy — CPB 0234 \| AETNA Coverage Update	AETNA	Modified	Cardiology	Feb 13, 2026
Back Pain - Invasive Procedures \| AETNA Coverage Update	AETNA	Modified	Pain Management	Feb 12, 2026
Botulinum Toxin — CPB 0113 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Feb 11, 2026
Cervical Plexus Block - (0579) — MM 0579 \| CIGNA Coverage Update	CIGNA	Modified	Orthopedics & Spine	Feb 11, 2026
Tezepelumab-ekko (Tezspire) — CPB 1003 \| AETNA Coverage Update	AETNA	Modified	Pulmonology	Feb 7, 2026
Cardiovascular Diagnostic and Therapeutic Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Cardiology	Feb 2, 2026
Clinical Diagnostic Laboratory Services – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Laboratory	Feb 2, 2026
Molecular Pathology/Genetic Testing Reported with Unlisted Codes – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Laboratory	Feb 2, 2026
Neurologic Services and Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Neurology & Neurosurgery, Urology & Nephrology	Feb 2, 2026
Omnibus Codes – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	General / Multi-Specialty	Feb 2, 2026
Skin Substitutes Grafts/Cellular and Tissue-Based Products (Injections and/or Applications) – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Dermatology	Feb 2, 2026
Tier 2 Molecular Pathology Procedures – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Laboratory	Feb 2, 2026
Treatment of Temporomandibular Joint (TMJ) – Medicare Advantage Medical Policy \| UHC Coverage Update	UHC	Modified	Dental	Feb 2, 2026
Hemodialysis for Schizophrenia — CPB 0291 \| AETNA Coverage Update	AETNA	Modified	Urology & Nephrology	Jan 31, 2026
Optic Nerve and Retinal Imaging Methods — CPB 0344 \| AETNA Coverage Update	AETNA	Modified	Radiology & Imaging, Ophthalmology	Jan 31, 2026
Transition to or from a Group Benefit Plan Serviced by Behavioral Health - (HM-CLN-037) — hm_cln_037_transition_to_or_from_a_group_benefit_plan_serviced_by_bh_policy \| CIGNA Coverage Update	CIGNA	Modified	Behavioral Health	Jan 31, 2026
Continuity of Care Service Requests - (HM-CLN-038) — hm_cln_038_continuity_of_care_service_requests_policy \| CIGNA Coverage Update	CIGNA	Modified	General / Multi-Specialty	Jan 31, 2026
Behavioral Lack of Information (LOI) - (HM-CLN-045) — hm_cln_045_behavioral_lack_of_information_policy \| CIGNA Coverage Update	CIGNA	Modified	Behavioral Health	Jan 31, 2026
Wheelchairs and Power Operated Vehicles (Scooters) — CPB 0271 \| AETNA Coverage Update	AETNA	Modified	DME & Home Health	Jan 30, 2026
Vasectomy Procedures — CPB 0027 \| AETNA Coverage Update	AETNA	Modified	Urology & Nephrology	Jan 29, 2026
Brain Natriuretic Peptide Testing — CPB 0618 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Jan 29, 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.