Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Hematopoietic Colony-Stimulating Factors (CSFs) — CPB 0055 | AETNA Coverage Update AETNA Modified Hematology Oct 30, 2025
External Ocular Photography — CPB 0734 | AETNA Coverage Update AETNA Modified Ophthalmology Oct 29, 2025
Romiplostim (Nplate) — CPB 0768 | AETNA Coverage Update AETNA Modified Hematology Oct 29, 2025
Ofatumumab (Arzerra) — CPB 0794 | AETNA Coverage Update AETNA Modified Hematology Oct 25, 2025
Intraoperative Radiation Therapy (IORT) — CPB 0721 | AETNA Coverage Update AETNA Modified Oncology Oct 21, 2025
Selective Nerve Root Blocks — CPB 0722 | AETNA Coverage Update AETNA Modified Pain Management Oct 21, 2025
Post-Herpetic Neuralgia — CPB 0725 | AETNA Coverage Update AETNA Modified Pain Management Oct 21, 2025
Teclistamab-cqyv (Tecvayli) — CPB 1018 | AETNA Coverage Update AETNA Modified Oncology Oct 19, 2025
Talquetamab-tgvs (Talvey) — CPB 1042 | AETNA Coverage Update AETNA Modified Oncology Oct 19, 2025
Donanemab-azbt (Kisunla) — CPB 1066 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Oct 19, 2025
Exhaled Breath Tests — CPB 0691 | AETNA Coverage Update AETNA Modified Pulmonology Oct 18, 2025
Acoustic Heart Sound Recording and Computer Analysis — CPB 0692 | AETNA Coverage Update AETNA Modified Cardiology Oct 18, 2025
Ipilimumab (Yervoy) — CPB 0815 | AETNA Coverage Update AETNA Modified Oncology Oct 18, 2025
Enfortumab vedotin-ejfv (Padcev) — CPB 0967 | AETNA Coverage Update AETNA Modified Oncology Oct 18, 2025
Hyperthermia in Cancer Therapy — CPB 0278 | AETNA Coverage Update AETNA Modified Oncology Oct 17, 2025
Levator Syndrome Treatments — CPB 0679 | AETNA Coverage Update AETNA Modified Gastroenterology Oct 17, 2025
Corneal Pachymetry — CPB 0681 | AETNA Coverage Update AETNA Modified Ophthalmology Oct 17, 2025
Microwave Thermotherapy — CPB 0682 | AETNA Coverage Update AETNA Modified Urology & Nephrology Oct 17, 2025
Oral Brush Biopsy — CPB 0686 | AETNA Coverage Update AETNA Modified Oncology Oct 17, 2025
Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage) — CPB 0699 | AETNA Coverage Update AETNA Modified Physical Medicine & Rehab Oct 16, 2025
Actigraphy and Accelerometry — CPB 0710 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Oct 16, 2025
Sialolithiasis (Salivary Stones) — CPB 0716 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Oct 16, 2025
Electrodiagnostic Testing (EMG/NCV) — CPG129 | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Oct 16, 2025
Strapping and Taping — CPG143 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Oct 16, 2025
Neuropsychological Testing - (EN0258) — en_mm_0258_coveragepositioncriteria_neuropsychological_testing | CIGNA Coverage Update CIGNA Modified Behavioral Health Oct 16, 2025

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