Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028) — MM 0028 | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Oct 16, 2025
Partial Rhinectomy, Rhinoplasty, Vestibular Stenosis Repair and Septoplasty - (0119) — MM 0119 | CIGNA Coverage Update CIGNA Modified ENT / Otolaryngology Oct 16, 2025
Kidney Transplantation, Pancreas-Kidney Transplantation, and Pancreas Transplantation Alone - (0146) — MM 0146 | CIGNA Coverage Update CIGNA Modified Gastroenterology, Urology & Nephrology Oct 16, 2025
Orthognathic Surgery - (0209) — MM 0209 | CIGNA Coverage Update CIGNA Modified Dental Oct 16, 2025
Subtalar Joint Implantation (Subtalar Arthroereisis) - (0486) — MM 0486 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Oct 16, 2025
Pharmacogenetic Testing - (0500) — MM 0500 | CIGNA Coverage Update CIGNA Modified Laboratory Oct 16, 2025
Autologous Platelet-Derived Growth Factors (Platelet-Rich Plasma [PRP]) - (0507) — MM 0507 | CIGNA Coverage Update CIGNA Modified Hematology Oct 16, 2025
Cardiac Electrophysiological (EP) Studies - (0532) — MM 0532 | CIGNA Coverage Update CIGNA Modified Cardiology Oct 16, 2025
Flow Cytometry - (0538) — MM 0538 | CIGNA Coverage Update CIGNA Modified Laboratory Oct 16, 2025
Duplex Scan of Extracranial Arteries - (0542) — MM 0542 | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Oct 16, 2025
Head and Neck Ultrasound - (0549) — MM 0549 | CIGNA Coverage Update CIGNA Modified Radiology & Imaging Oct 16, 2025
Radiofrequency Ablation (RFA) Thyroid Nodules - (0575) — MM 0575 | CIGNA Coverage Update CIGNA Modified Cardiology, Interventional Procedures, Endocrinology Oct 16, 2025
Radiofrequency Therapy for Fecal Incontinence - (0576) — MM 0576 | CIGNA Coverage Update CIGNA Modified Gastroenterology Oct 16, 2025
Mucosal Integrity Testing - (0577) — MM 0577 | CIGNA Coverage Update CIGNA Modified Gastroenterology Oct 16, 2025
Hyperbaric Oxygen Therapy (HBOT) — CPB 0172 | AETNA Coverage Update AETNA Modified Pulmonology Oct 15, 2025
Noninvasive Tests for Hepatic Fibrosis — CPB 0690 | AETNA Coverage Update AETNA Modified Gastroenterology Oct 12, 2025
Temsirolimus (Torisel) — CPB 0873 | AETNA Coverage Update AETNA Modified Oncology Oct 11, 2025
Avelumab (Bavencio) — CPB 0916 | AETNA Coverage Update AETNA Modified Oncology Oct 11, 2025
Nirsevimab-alip (Beyfortus) — CPB 1038 | AETNA Coverage Update AETNA Modified Primary Care Oct 11, 2025
Genetic Testing for Hereditary and Multifactorial Conditions - (0052) — MM 0052 | CIGNA Coverage Update CIGNA Modified Laboratory Oct 11, 2025
Seat Lift Mechanisms, Patient Lifts and Standing Devices - (0343) — MM 0343 | CIGNA Coverage Update CIGNA Modified DME & Home Health Oct 11, 2025
Glaucoma Testing — CPB 0622 | AETNA Coverage Update AETNA Modified Ophthalmology Oct 8, 2025
Dysphagia Therapy — CPB 0625 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Oct 8, 2025
Hematopoietic Cell Transplantation for Thalassemia Major and Sickle Cell Anemia — CPB 0626 | AETNA Coverage Update AETNA Modified Hematology Oct 8, 2025
Benign Skin Lesion Removal — CPB 0633 | AETNA Coverage Update AETNA Modified Dermatology Oct 8, 2025

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