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Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Natalizumab — CPB 0751 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 3, 2025
Epiretinal Radiation Therapy — CPB 0756 | AETNA Coverage Update AETNA Modified Oncology, Ophthalmology Dec 3, 2025
Oral Screening and Lesion Identification Systems — CPB 0760 | AETNA Coverage Update AETNA Modified Primary Care Dec 3, 2025
Extended Ophthalmoscopy — CPB 0767 | AETNA Coverage Update AETNA Modified Ophthalmology Dec 3, 2025
Novel Injection Methods — CPB 0777 | AETNA Coverage Update AETNA Modified Pain Management Dec 3, 2025
Menaflex — CPB 0786 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 3, 2025
Esophageal Doppler Monitoring — CPB 0793 | AETNA Coverage Update AETNA Modified Cardiology Dec 3, 2025
Asparaginase Erwinia Chrysanthemi (Recombinant)-rywn (Rylaze) — CPB 0864 | AETNA Coverage Update AETNA Modified Oncology Dec 3, 2025
Axial Lumbar Interbody Fusion (AxiaLIF) — CPB 0772 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 3, 2025
Intraoral Prostheses - (0584) — MM 0584 | CIGNA Coverage Update CIGNA Modified Dental Dec 2, 2025
Dental Implants - (0585) — MM 0585 | CIGNA Coverage Update CIGNA Modified Dental Dec 2, 2025
Alveoloplasty - (0586) — MM 0586 | CIGNA Coverage Update CIGNA Modified Dental Dec 2, 2025
Open Neuroplasty Lumbar Plexus - (0587) — MM 0587 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Dec 2, 2025
Orthopedic Procedures, Devices, and Products – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Orthopedics & Spine Dec 2, 2025
Positron Emission Tomography Scan for Myocardial Imaging – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Radiology & Imaging Dec 2, 2025
Prostate Services and Procedures and Impotence Treatment – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Urology & Nephrology Dec 2, 2025
Maze Procedure — CPB 0225 | AETNA Coverage Update AETNA Modified Cardiology Nov 27, 2025
Cardiovascular Disease Risk Tests — CPB 0381 | AETNA Coverage Update AETNA Modified Cardiology Nov 27, 2025
Contact Dissolution for Gallstones — CPB 0509 | AETNA Coverage Update AETNA Modified Gastroenterology Nov 27, 2025
Prostate Cancer Screening — CPB 0521 | AETNA Coverage Update AETNA Modified Oncology, Urology & Nephrology, Primary Care Nov 27, 2025
Pulsed Irrigation Evacuation (PIE) — CPB 0522 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Nov 27, 2025
Car-Ride Simulators for Infantile Colic — CPB 0523 | AETNA Coverage Update AETNA Modified Primary Care Nov 27, 2025
Screening for Lipid Disorders — CPB 0525 | AETNA Coverage Update AETNA Modified Primary Care Nov 27, 2025
Intragastric Hypothermia — CPB 0527 | AETNA Coverage Update AETNA Modified Gastroenterology Nov 27, 2025
Transabdominal Cerclage — CPB 0529 | AETNA Coverage Update AETNA Modified OB/GYN Nov 27, 2025

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