Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Thermography | AETNA Coverage Update AETNA Modified Radiology & Imaging Mar 14, 2026
Cosmetic Surgery and Procedures | AETNA Coverage Update AETNA Modified General Surgery Mar 14, 2026
Kidney Transplantation — CPB 0493 | AETNA Coverage Update AETNA Modified Urology & Nephrology Mar 14, 2026
Heart Transplantation — CPB 0586 | AETNA Coverage Update AETNA Modified Cardiology Mar 14, 2026
Transthyretin-Mediated (ATTR) Amyloidosis — CPB 0939 | AETNA Coverage Update AETNA Modified Cardiology Mar 14, 2026
Polatuzumab vedotin-piiq (Polivy) — CPB 0955 | AETNA Coverage Update AETNA Modified Oncology Mar 14, 2026
Brexucabtagene Autoleucel (Tecartus) - 0980 — CPB 0980 | AETNA Coverage Update AETNA Modified Hematology Mar 14, 2026
Anifrolumab-fnia (Saphnelo) — CPB 0997 | AETNA Coverage Update AETNA Modified Rheumatology Mar 14, 2026
Ciltacabtagene Autoleucel (Carvykti) — CPB 1007 | AETNA Coverage Update AETNA Modified Hematology Mar 14, 2026
Prademagene Zamikeracel (Zevaskyn) — CPB 1084 | AETNA Coverage Update AETNA Modified Dermatology Mar 14, 2026
Mitomycin Intravesical Solution (Zusduri) — CPB 1086 | AETNA Coverage Update AETNA Modified Urology & Nephrology Mar 14, 2026
Linvoseltamab-gcpt (Lynozyfic) — CPB 1089 | AETNA Coverage Update AETNA Modified Hematology Mar 14, 2026
Axicabtagene Ciloleucel (Yescarta) — CPB 0924 | AETNA Coverage Update AETNA Modified Hematology Mar 14, 2026
Low-Level Laser and High-Power Laser Therapy — CPG030 | CIGNA Coverage Update CIGNA Modified Pain Management Mar 14, 2026
Transcranial Magnetic Stimulation - (EN0383) — en_mm_0383_coveragepositioncriteria_transcranial_magnetic_stimulation | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Mar 14, 2026
Fecal Calprotectin Testing - (0121) — MM 0121 | CIGNA Coverage Update CIGNA Modified Gastroenterology Mar 14, 2026
Manipulation Under Anesthesia - (0276) — MM 0276 | CIGNA Coverage Update CIGNA Modified Pain Management Mar 14, 2026
Total Ankle Arthroplasty/Replacement - (0285) — MM 0285 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine, Podiatry Mar 14, 2026
Intestinal and Multivisceral Transplantation - (0288) — MM 0288 | CIGNA Coverage Update CIGNA Modified General Surgery Mar 14, 2026
Transvaginal Ultrasound, Non-Obstetrical - (0398) — MM 0398 | CIGNA Coverage Update CIGNA Modified Radiology & Imaging, OB/GYN Mar 14, 2026
Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation - (0539) — MM 0539 | CIGNA Coverage Update CIGNA Modified Pain Management Mar 14, 2026
Ablative Treatment for Malignant Breast Tumor - (0540) — MM 0540 | CIGNA Coverage Update CIGNA Modified Oncology Mar 14, 2026
Site of Care: High-tech Radiology - (0550) — MM 0550 | CIGNA Coverage Update CIGNA Modified Radiology & Imaging Mar 14, 2026
Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554) — MM 0554 | CIGNA Coverage Update CIGNA Modified Gastroenterology, ENT / Otolaryngology Mar 14, 2026
Remote Physiologic Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) - (0563) — MM 0563 | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Mar 14, 2026

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