Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Diagnosis of Vaginitis — CPB 0643 | AETNA Coverage Update AETNA Modified OB/GYN Dec 17, 2025
Orthopoxvirus Vaccines — CPB 0644 | AETNA Coverage Update AETNA Modified Infectious Disease Dec 17, 2025
Physical Therapy — CPG135 | CIGNA Coverage Update CIGNA Modified Physical Medicine & Rehab Dec 16, 2025
Occupational Therapy — CPG155 | CIGNA Coverage Update CIGNA Modified Physical Medicine & Rehab Dec 16, 2025
Chiropractic Care — CPG278 | CIGNA Coverage Update CIGNA Modified Pain Management Dec 16, 2025
Intensive Behavioral Interventions - (EN0499) — en_mm_0499_coveragepositioncriteria_intensive_behavioral_interventions | CIGNA Coverage Update CIGNA Modified Behavioral Health Dec 16, 2025
Ventricular Assist Devices (VADs), Percutaneous Cardiac Support Systems and Total Artificial Heart - (0054) — MM 0054 | CIGNA Coverage Update CIGNA Modified Cardiology Dec 16, 2025
Temporomandibular Joint (TMJ) Disorder Surgery - (0156) — MM 0156 | CIGNA Coverage Update CIGNA Modified Dental Dec 16, 2025
Cardiac Resynchronization Therapy (CRT) - (0174) — MM 0174 | CIGNA Coverage Update CIGNA Modified Cardiology Dec 16, 2025
Tilt Table Testing - (0270) — MM 0270 | CIGNA Coverage Update CIGNA Modified Cardiology Dec 16, 2025
High Intensity Focused Ultrasound (HIFU) - (0274) — MM 0274 | CIGNA Coverage Update CIGNA Modified Radiology & Imaging Dec 16, 2025
Autism Spectrum Disorders/Pervasive Developmental Disorders: Assessment and Treatment - (0447) — MM 0447 | CIGNA Coverage Update CIGNA Modified Behavioral Health Dec 16, 2025
Laboratory Testing for Transplantation Rejection - (0465) — MM 0465 | CIGNA Coverage Update CIGNA Modified Laboratory Dec 16, 2025
Transcatheter Heart Valve Procedures - (0501) — MM 0501 | CIGNA Coverage Update CIGNA Modified Cardiology Dec 16, 2025
Stem Cell Transplantation: Blood Cancers - (0533) — MM 0533 | CIGNA Coverage Update CIGNA Modified Oncology, Hematology Dec 16, 2025
Stem Cell Therapy for Orthopaedic Applications - (0552) — MM 0552 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Dec 16, 2025
Prescription Digital Therapeutics - (0565) — MM 0565 | CIGNA Coverage Update CIGNA Modified Behavioral Health Dec 16, 2025
Serum Folate and Red Blood Cell Folate Testing - (0567) — MM 0567 | CIGNA Coverage Update CIGNA Modified Laboratory Dec 16, 2025
Wide-Area Transepithelial Tissue Sampling with Computer-Assisted 3D Analysis (WATS3D) - (0578) — MM 0578 | CIGNA Coverage Update CIGNA Modified Gastroenterology Dec 16, 2025
Eye Prosthesis — CPB 0619 | AETNA Coverage Update AETNA Modified Ophthalmology Dec 12, 2025
Facial Prostheses, External — CPB 0620 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Dec 12, 2025
Hematopoietic Cell Transplantation for Aplastic Anemia and Other Bone Marrow Failure Syndromes — CPB 0627 | AETNA Coverage Update AETNA Modified Hematology Dec 12, 2025
Spinal Ultrasound — CPB 0628 | AETNA Coverage Update AETNA Modified Radiology & Imaging Dec 12, 2025
Bunionectomy — CPB 0629 | AETNA Coverage Update AETNA Modified Podiatry Dec 12, 2025
Hematopoietic Cell Transplantation for Ovarian Cancer — CPB 0635 | AETNA Coverage Update AETNA Modified Oncology Dec 12, 2025

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