Payer Policy Changes for Billing Teams

Policy	Payer	Type	Specialty	Date
Musculoskeletal Assessment Systems — CPB 0212 \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Sep 26, 2025
Gastroesophageal Reflux Disease (GERD) — CPB 0213 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Sep 26, 2025
Lyme Disease and other Tick-Borne Diseases — CPB 0215 \| AETNA Coverage Update	AETNA	Modified	Infectious Disease	Sep 26, 2025
Quantitative EEG (Brain Mapping) — CPB 0221 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Sep 26, 2025
Hospitalization for the Initiation of Ketogenic Diet — CPB 0226 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Sep 26, 2025
Breast and Ovarian Cancer Susceptibility Gene Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy — CPB 0227 \| AETNA Coverage Update	AETNA	Modified	Oncology	Sep 26, 2025
Iontophoresis — CPB 0229 \| AETNA Coverage Update	AETNA	Modified	Pain Management	Sep 26, 2025
Grenz Ray Therapy for Skin Disorders — CPB 0231 \| AETNA Coverage Update	AETNA	Modified	Dermatology	Sep 26, 2025
Back Pain - Non Invasive Treatments — CPB 0232 \| AETNA Coverage Update	AETNA	Modified	Pain Management	Sep 26, 2025
Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) of the Spine — CPB 0236 \| AETNA Coverage Update	AETNA	Modified	Radiology & Imaging, Orthopedics & Spine	Sep 26, 2025
Extracorporeal Photochemotherapy (Photopheresis) — CPB 0241 \| AETNA Coverage Update	AETNA	Modified	Oncology	Sep 26, 2025
Tumor Chemosensitivity Assays — CPB 0245 \| AETNA Coverage Update	AETNA	Modified	Oncology	Sep 26, 2025
Fiberoptic Endoscopic Evaluation of Swallowing (FEES)/Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST) and Laryngopharyngeal Endoscopic Esthesiometer (LPEER) — CPB 0248 \| AETNA Coverage Update	AETNA	Modified	ENT / Otolaryngology	Sep 26, 2025
Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment of Thiopurine Therapy — CPB 0249 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology, Laboratory	Sep 26, 2025
Dermabrasion, Chemical Peels, and Acne Surgery — CPB 0251 \| AETNA Coverage Update	AETNA	Modified	Dermatology	Sep 26, 2025
Vocal Cord Paralysis/Insufficiency Treatments — CPB 0253 \| AETNA Coverage Update	AETNA	Modified	ENT / Otolaryngology	Sep 26, 2025
Inpatient Admission Prior to Surgery (Preop Days) — CPB 0255 \| AETNA Coverage Update	AETNA	Modified	General Surgery	Sep 26, 2025
Sensory and Auditory Integration Therapy — CPB 0256 \| AETNA Coverage Update	AETNA	Modified	Behavioral Health	Sep 26, 2025
Transjugular Intrahepatic Portosystemic Shunt (TIPSS) — CPB 0259 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Sep 26, 2025
External Counterpulsation (ECP) — CPB 0262 \| AETNA Coverage Update	AETNA	Modified	Cardiology	Sep 26, 2025
Gait Analysis and Electrodynogram — CPB 0263 \| AETNA Coverage Update	AETNA	Modified	Orthopedics & Spine	Sep 26, 2025
Treatments to Control Drooling (Sialorrhea) — CPB 0265 \| AETNA Coverage Update	AETNA	Modified	Neurology & Neurosurgery	Sep 26, 2025
Cholecystokinin Cholescintigraphy — CPB 0266 \| AETNA Coverage Update	AETNA	Modified	Radiology & Imaging	Sep 26, 2025
Intensive Cardiac Rehabilitation Programs — CPB 0267 \| AETNA Coverage Update	AETNA	Modified	Cardiology, Physical Medicine & Rehab	Sep 26, 2025
Liver and Other Neoplasms - Treatment Approaches — CPB 0268 \| AETNA Coverage Update	AETNA	Modified	Gastroenterology	Sep 26, 2025

Payer policy changesfor billing and compliance teams.

One missed policy change can cost thousands in denied claims.

Payer policy changes
for billing and compliance teams.