Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,244 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
|---|
| Sep 30, 2026 | Humana | Cosmetic and Reconstructive SurgeryPayerPolicy · HUMANA-COSMETIC-AND-RECONSTRUCTIVE-SURGERY-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Comprehensive Genomic Profiling and Multigene Panel Testing for Solid TumorsPayerPolicy · HUMANA-COMPREHENSIVE-GENOMIC-PROFILING-AND-MULTIGENE-PANEL-TESTING-FOR-SOLID-TUMORS-MA-EFF-20260401 | Retired |
|---|
| Sep 30, 2026 | Humana | Cardiac Catheterization and Coronary AngiographyPayerPolicy · HUMANA-CARDIAC-CATHETERIZATION-AND-CORONARY-ANGIOGRAPHY-MA-EFF-20260401 | Retired |
|---|
| Sep 30, 2026 | Humana | Gene Expression Profiling for Cancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-CANCER-INDICATIONS-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Cardioverter Defibrillators/Cardiac Resynchronization TherapyPayerPolicy · HUMANA-CARDIOVERTER-DEFIBRILLATORSCARDIAC-RESYNCHRONIZATION-THERAPY-MA-EFF-20260501 | Retired |
|---|
| Sep 30, 2026 | Humana | Breast Excision and MastectomyPayerPolicy · HUMANA-BREAST-EXCISION-AND-MASTECTOMY-MA-EFF-20260501 | Retired |
|---|
| Sep 30, 2026 | Humana | Benign Prostatic Hyperplasia TreatmentsPayerPolicy · HUMANA-BENIGN-PROSTATIC-HYPERPLASIA-TREATMENTS-MA-EFF-20260601 | Retired |
|---|
| Sep 30, 2026 | Humana | Genetic Testing for Diagnosis of Inherited ConditionsPayerPolicy · HUMANA-GENETIC-TESTING-FOR-DIAGNOSIS-OF-INHERITED-CONDITIONS-MA-EFF-20260701 | Retired |
|---|
| Sep 30, 2026 | Humana | Genetic Testing for Diagnosis of Inherited ConditionsPayerPolicy · HUMANA-GENETIC-TESTING-FOR-DIAGNOSIS-OF-INHERITED-CONDITIONS-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Gene Expression Profiling for Noncancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-NONCANCER-INDICATIONS-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Functional Electrical Stimulators (Non-Pain)PayerPolicy · HUMANA-FUNCTIONAL-ELECTRICAL-STIMULATORS-NON-PAIN-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | CryoablationPayerPolicy · HUMANA-CRYOABLATION-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Comprehensive Genomic Profiling and Multigene Panel Testing for Solid TumorsPayerPolicy · HUMANA-COMPREHENSIVE-GENOMIC-PROFILING-AND-MULTIGENE-PANEL-TESTING-FOR-SOLID-TUMORS-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Chimeric Antigen Receptor (CAR) T-cell TherapyPayerPolicy · HUMANA-CHIMERIC-ANTIGEN-RECEPTOR-CAR-T-CELL-THERAPY-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Cardioverter Defibrillators/Cardiac Resynchronization TherapyPayerPolicy · HUMANA-CARDIOVERTER-DEFIBRILLATORSCARDIAC-RESYNCHRONIZATION-THERAPY-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Cardiac Electrophysiological Studies and Cardiac Catheter AblationPayerPolicy · HUMANA-CARDIAC-ELECTROPHYSIOLOGICAL-STUDIES-AND-CARDIAC-CATHETER-ABLATION-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Cardiac Catheterization and Coronary AngiographyPayerPolicy · HUMANA-CARDIAC-CATHETERIZATION-AND-CORONARY-ANGIOGRAPHY-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Breast ReconstructionPayerPolicy · HUMANA-BREAST-RECONSTRUCTION-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Breast Excision and MastectomyPayerPolicy · HUMANA-BREAST-EXCISION-AND-MASTECTOMY-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Benign Prostatic Hyperplasia TreatmentsPayerPolicy · HUMANA-BENIGN-PROSTATIC-HYPERPLASIA-TREATMENTS-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Amtagvi (lifileucel)PayerPolicy · HUMANA-AMTAGVI-LIFILEUCEL-MA-EFF-20260803 | Retired |
|---|
| Sep 30, 2026 | Humana | Intrathecal Baclofen TherapyPayerPolicy · HUMANA-INTRATHECAL-BACLOFEN-THERAPY-LA-MEDICAID | Retired |
|---|
| Sep 30, 2026 | Humana | Multi-Systemic Therapy (MST)PayerPolicy · HUMANA-MULTI-SYSTEMIC-THERAPY-MST-LA-MEDICAID | Retired |
|---|
| Sep 30, 2026 | Humana | Mobility Assistive Devices (Wheelchairs)PayerPolicy · HUMANA-MOBILITY-ASSISTIVE-DEVICES-WHEELCHAIRS-SC-MEDICAID | Retired |
|---|
| Sep 30, 2026 | Humana | Rethymic (allogenic processed thymus tissue - agdc)PayerPolicy · HUMANA-RETHYMIC-ALLOGENIC-PROCESSED-THYMUS-TISSUE-AGDC-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Molecular Biomarkers for Prostate Cancer Risk StratificationPayerPolicy · HUMANA-MOLECULAR-BIOMARKERS-FOR-PROSTATE-CANCER-RISK-STRATIFICATION-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Interspinous Process Decompression SpacersPayerPolicy · HUMANA-INTERSPINOUS-PROCESS-DECOMPRESSION-SPACERS-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Noninvasive Tests for Hepatic FibrosisPayerPolicy · HUMANA-NONINVASIVE-TESTS-FOR-HEPATIC-FIBROSIS-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Hematopoietic Stem Cell TransplantationPayerPolicy · HUMANA-HEMATOPOIETIC-STEM-CELL-TRANSPLANTATION-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Irreversible ElectroporationPayerPolicy · HUMANA-IRREVERSIBLE-ELECTROPORATION-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Elective Aorta and Iliac Artery Aneurysm RepairPayerPolicy · HUMANA-ELECTIVE-AORTA-AND-ILIAC-ARTERY-ANEURYSM-REPAIR-MA | Retired |
|---|
| Sep 30, 2026 | Humana | BrachytherapyPayerPolicy · HUMANA-BRACHYTHERAPY-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Molecular Diagnostic Assays and Breath Testing for Transplant RejectionPayerPolicy · HUMANA-MOLECULAR-DIAGNOSTIC-ASSAYS-AND-BREATH-TESTING-FOR-TRANSPLANT-REJECTION-MI-MEDICAID | Retired |
|---|
| Sep 30, 2026 | Humana | Peripheral Artery Revascularization of the Lower ExtremitiesPayerPolicy · HUMANA-PERIPHERAL-ARTERY-REVASCULARIZATION-OF-THE-LOWER-EXTREMITIES-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Multianalyte Assays with Algorithmic Analyses for Cancer IndicationsPayerPolicy · HUMANA-MULTIANALYTE-ASSAYS-WITH-ALGORITHMIC-ANALYSES-FOR-CANCER-INDICATIONS-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Erectile Dysfunction and Peyronie's Disease TreatmentsPayerPolicy · HUMANA-ERECTILE-DYSFUNCTION-AND-PEYRONIES-DISEASE-TREATMENTS-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Bariatric SurgeryPayerPolicy · HUMANA-BARIATRIC-SURGERY-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Diagnostic and Therapeutic Esophagogastroduodenoscopy or EsophagoscopyPayerPolicy · HUMANA-DIAGNOSTIC-AND-THERAPEUTIC-ESOPHAGOGASTRODUODENOSCOPY-OR-ESOPHAGOSCOPY-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Hyperthermia and Ultrasound-Based Ablative Cancer TreatmentsPayerPolicy · HUMANA-HYPERTHERMIA-AND-ULTRASOUND-BASED-ABLATIVE-CANCER-TREATMENTS-MA | Retired |
|---|
| Sep 30, 2026 | Humana | Waskyra (etuvetidigene autotemcel)PayerPolicy · HUMANA-WASKYRA-ETUVETIDIGENE-AUTOTEMCEL-MA | New policy |
|---|
| Sep 30, 2026 | Humana | Ventricular Assist Device, Total Artificial HeartPayerPolicy · HUMANA-VENTRICULAR-ASSIST-DEVICE-TOTAL-ARTIFICIAL-HEART-MA | Metadata changed |
|---|
| Sep 30, 2026 | Humana | Upper and Lower Extremity Magnetic Resonance Imaging (MRI)PayerPolicy · HUMANA-UPPER-AND-LOWER-EXTREMITY-MAGNETIC-RESONANCE-IMAGING-MRI-MA | Metadata changed |
|---|
| Sep 30, 2026 | Humana | Transcatheter Valve ProceduresPayerPolicy · HUMANA-TRANSCATHETER-VALVE-PROCEDURES-MA | Metadata changed |
|---|
| Sep 30, 2026 | Humana | Transcatheter and Device-Based Hemodynamic Management ProceduresPayerPolicy · HUMANA-TRANSCATHETER-AND-DEVICE-BASED-HEMODYNAMIC-MANAGEMENT-PROCEDURES-MA | Metadata changed |
|---|
| Sep 30, 2026 | Humana | Therapeutic Group HomePayerPolicy · HUMANA-THERAPEUTIC-GROUP-HOME-LA-MEDICAID | Metadata changed |
|---|
| Sep 30, 2026 | Humana | Superficial Radiation TherapyPayerPolicy · HUMANA-SUPERFICIAL-RADIATION-THERAPY-MA | Metadata changed |
|---|
| Sep 30, 2026 | Humana | Spinal Fusion SurgeryPayerPolicy · HUMANA-SPINAL-FUSION-SURGERY-MA | Metadata changed |
|---|
| Sep 30, 2026 | Humana | Spinal Fusion and Stabilization SurgeryPayerPolicy · HUMANA-SPINAL-FUSION-AND-STABILIZATION-SURGERY-KY-MEDICAID | New policy |
|---|
| Sep 30, 2026 | Humana | Spinal Fusion and Stabilization SurgeryPayerPolicy · HUMANA-SPINAL-FUSION-AND-STABILIZATION-SURGERY-FL-MEDICAID | New policy |
|---|
| Sep 30, 2026 | Humana | Spinal Decompression SurgeryPayerPolicy · HUMANA-SPINAL-DECOMPRESSION-SURGERY-OH-MEDICAID | New policy |
|---|