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
Heart-Lung Transplant — CPB 0597 | AETNA Coverage Update AETNA Modified Cardiology, Pulmonology Dec 4, 2025
Lung Transplantation — CPB 0598 | AETNA Coverage Update AETNA Modified Pulmonology Dec 4, 2025
Total-Body CT Screening — CPB 0603 | AETNA Coverage Update AETNA Modified Primary Care Dec 4, 2025
Infrared Therapy — CPB 0604 | AETNA Coverage Update AETNA Modified Pain Management Dec 4, 2025
Laser Photocoagulation of Drusen — CPB 0609 | AETNA Coverage Update AETNA Modified Hematology Dec 4, 2025
Cardiac Resynchronization Therapy and Other Pacing/Defibrillator Treatments for Heart Failure — CPB 0610 | AETNA Coverage Update AETNA Modified Cardiology Dec 4, 2025
Pharmacogenetic Testing — CPB 0715 | AETNA Coverage Update AETNA Modified Laboratory Dec 4, 2025
Intra-coronary Hyperoxemic Therapy — CPB 0801 | AETNA Coverage Update AETNA Modified Cardiology Dec 4, 2025
Hematopoietic Cell Transplantation for Solid Tumors in Adults — CPB 0811 | AETNA Coverage Update AETNA Modified Oncology Dec 4, 2025
Computerized Wheeze Detectors — CPB 0813 | AETNA Coverage Update AETNA Modified Pulmonology Dec 4, 2025
Hand Transplantation — CPB 0816 | AETNA Coverage Update AETNA Modified General Surgery Dec 4, 2025
Lymphangioma and Infantile Hemangioma — CPB 0817 | AETNA Coverage Update AETNA Modified Dermatology Dec 4, 2025
Face Transplantation — CPB 0819 | AETNA Coverage Update AETNA Modified General Surgery Dec 4, 2025
Caplacizumab-yhdp (Cablivi) — CPB 0949 | AETNA Coverage Update AETNA Modified Hematology Dec 4, 2025
Pegaspargase (Oncaspar) — CPB 0959 | AETNA Coverage Update AETNA Modified Oncology Dec 4, 2025
Sutimlimab-jome (Enjaymo) — CPB 1006 | AETNA Coverage Update AETNA Modified Hematology Dec 4, 2025
Teplizumab-mzwv (Tzield) — CPB 1022 | AETNA Coverage Update AETNA Modified Endocrinology Dec 4, 2025
Omidubicel-onlv (Omisirge) — CPB 1032 | AETNA Coverage Update AETNA Modified Hematology Dec 4, 2025
ADAMTS13, Recombinant-krhn (Adzynma) — CPB 1050 | AETNA Coverage Update AETNA Modified Hematology Dec 4, 2025
Penpulimab-kcqx — CPB 1080 | AETNA Coverage Update AETNA Modified Oncology Dec 4, 2025
Human Chorionic Gonadotropin (hCG) — CPB 1081 | AETNA Coverage Update AETNA Modified Endocrinology Dec 4, 2025
Anacaulase-bcdb (Nexobrid) — CPB 1087 | AETNA Coverage Update AETNA Modified General Surgery Dec 4, 2025
Clesrovimab-cfor (Enflonsia) — CPB 1088 | AETNA Coverage Update AETNA Modified Infectious Disease Dec 4, 2025
Tumor Chemoresistance Assays — CPB 0758 | AETNA Coverage Update AETNA Modified Oncology Dec 3, 2025
Athletic Pubalgia Surgery — CPB 0750 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 3, 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.