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
Defecography — CPB 0718 | AETNA Coverage Update AETNA Modified Radiology & Imaging Nov 14, 2025
Non-Invasive Fetal Membranes Rupture Tests — CPB 0757 | AETNA Coverage Update AETNA Modified OB/GYN Nov 14, 2025
Vulvodynia and Vulvar Vestibulitis Treatments — CPB 0759 | AETNA Coverage Update AETNA Modified OB/GYN Nov 14, 2025
Homocysteine Testing — CPB 0763 | AETNA Coverage Update AETNA Modified Laboratory Nov 14, 2025
Inclisiran (Leqvio) — CPB 1004 | AETNA Coverage Update AETNA Modified Cardiology Nov 11, 2025
Respiratory Syncytial Virus (RSV) Vaccines for Adult and Maternal Use — CPB 1027 | AETNA Coverage Update AETNA Modified Pulmonology, Infectious Disease Nov 8, 2025
Calaspargase Pegol-mknl (Asparlas) — CPB 0957 | AETNA Coverage Update AETNA Modified Oncology Nov 6, 2025
Tafasitamab-cxix (Monjuvi) — CPB 0979 | AETNA Coverage Update AETNA Modified Oncology Nov 6, 2025
Mosunetuzumab-axgb (Lunsumio) — CPB 1025 | AETNA Coverage Update AETNA Modified Oncology Nov 6, 2025
Airway Clearance Devices in the Ambulatory Setting - (0069) — MM 0069 | CIGNA Coverage Update CIGNA Modified Pulmonology Nov 4, 2025
Ambulatory EEG Monitoring – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Neurology & Neurosurgery Nov 2, 2025
Gender Dysphoria and Gender Reassignment Surgery – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Behavioral Health Nov 2, 2025
Pain Management – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Pain Management, Physical Medicine & Rehab Nov 2, 2025
Platelet Rich Plasma Therapies – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Hematology Nov 2, 2025
Urogenital/Anogenital (UG/AG) Panels – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Urology & Nephrology Nov 2, 2025
Cardiovascular Ultrafiltration — CPB 0741 | AETNA Coverage Update AETNA Modified Cardiology Nov 1, 2025
Facial Nerve Paralysis — CPB 0745 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Nov 1, 2025
Obstructive Sleep Apnea in Children — CPB 0752 | AETNA Coverage Update AETNA Modified Pulmonology Nov 1, 2025
Core Decompression for Avascular Necrosis — CPB 0753 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Nov 1, 2025
Chronic Pelvic Pain, Endometriosis, and Other Indications: Selected Treatments — CPB 0754 | AETNA Coverage Update AETNA Modified OB/GYN Nov 1, 2025
Blinatumomab (Blincyto) — CPB 0891 | AETNA Coverage Update AETNA Modified Oncology Nov 1, 2025
Growth Hormone (GH) and Growth Hormone Antagonists — CPB 0170 | AETNA Coverage Update AETNA Modified Endocrinology Oct 31, 2025
Physical Therapy Services — CPB 0325 | AETNA Coverage Update AETNA Modified Physical Medicine & Rehab Oct 31, 2025
Antibody Tests for Neurologic Diseases — CPB 0340 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery, Urology & Nephrology Oct 31, 2025
Pulsed Radiofrequency — CPB 0735 | AETNA Coverage Update AETNA Modified Pain Management Oct 31, 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.