PayerPolicy
Free Policy Updates

Payer policy changes
for billing and compliance teams.

Every Aetna, Cigna, CMS, and UnitedHealthcare change, summarized weekly for your specialty.

Free forever. Need daily alerts + full codes? See pricing.
By subscribing you agree to our Terms of Service and Privacy Policy.

1511 updates
Policy Payer Type Specialty Date
Non-invasive Measurement of Advanced Glycation End-products — CPB 0841 | AETNA Coverage Update AETNA Modified Endocrinology Dec 10, 2025
Ziv-Aflibercept (Zaltrap) — CPB 0842 | AETNA Coverage Update AETNA Modified Oncology Dec 10, 2025
Elbow Arthroplasty — CPB 0857 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 10, 2025
Winged Scapula — CPB 0859 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 10, 2025
Belinostat (Beleodaq) — CPB 0887 | AETNA Coverage Update AETNA Modified Oncology Dec 10, 2025
Nusinersen (Spinraza) — CPB 0915 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 10, 2025
Edaravone Injection — CPB 0918 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 10, 2025
Sufentanil Sublingual Tablet (Dsuvia) — CPB 0944 | AETNA Coverage Update AETNA Modified Pain Management Dec 10, 2025
Afamelanotide (Scenesse) — CPB 0962 | AETNA Coverage Update AETNA Modified Dermatology Dec 10, 2025
Crizanlizumab-tmca (Adakveo) — CPB 0964 | AETNA Coverage Update AETNA Modified Hematology Dec 10, 2025
Eptinezumab-jjmr (Vyepti) — CPB 0970 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 10, 2025
Loncastuximab Tesirine-lpyl (Zynlonta) — CPB 0994 | AETNA Coverage Update AETNA Modified Oncology Dec 10, 2025
Aducanumab-avwa (Aduhelm) — CPB 0996 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 10, 2025
Efgartigimod Alfa-fcab (Vyvgart) and Efgartigimod Alfa and Hyaluronidase-qvfc (Vyvgart Hytrulo) — CPB 1002 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 10, 2025
Sodium Thiosulfate (Pedmark) — CPB 1020 | AETNA Coverage Update AETNA Modified Oncology Dec 10, 2025
Pozelimab-bbfg (Veopoz) — CPB 1043 | AETNA Coverage Update AETNA Modified Hematology Dec 10, 2025
Voice Therapy — CPB 0646 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Dec 9, 2025
Histamine Desensitization Therapy for Intractable Headaches — CPB 0647 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 9, 2025
Therapeutic Phlebotomy — CPB 0652 | AETNA Coverage Update AETNA Modified Hematology Dec 9, 2025
Diphtheria, Tetanus, and Pertussis Vaccines — CPB 0653 | AETNA Coverage Update AETNA Modified Infectious Disease Dec 9, 2025
Tubal Sterilization — CPB 0657 | AETNA Coverage Update AETNA Modified OB/GYN Dec 9, 2025
Autoimmune Antibody and Coagulation Testing — CPB 0662 | AETNA Coverage Update AETNA Modified Hematology, Rheumatology Dec 9, 2025
Signal-Averaged Electrocardiography (SAECG) / Artificial Intelligence Algorithmic Electrocardiogram for Detection of Cardiovascular-Related Diseases — CPB 0664 | AETNA Coverage Update AETNA Modified Cardiology Dec 9, 2025
Repository Corticotropin InjectRepository Corticotropin Injection (Acthar Gel and Purified Cortrophin Gel) — CPB 0762 | AETNA Coverage Update AETNA Modified Endocrinology Dec 9, 2025
Rilonacept (Arcalyst) — CPB 0770 | AETNA Coverage Update AETNA Modified Rheumatology Dec 9, 2025

One missed policy change can cost thousands in denied claims.

Get the free weekly digest every Monday — before it hits your revenue.

Free forever. Need daily alerts + full codes? Get full access for $99/mo →
By subscribing you agree to our Terms of Service and Privacy Policy.