Humana New and Revised Medical Coverage Policies

December 2017 ~

Humana has released two new medical coverage policies and several updates to policies effective at the start of the New Year.

New Medical Coverage Policies

Medical Coverage Policies with Significant Revisions

Achalasia and gastroesophageal reflux disease (GERD) treatments Effective 1/1/18
Breast reconstruction
Chiropractic care
Cochlear implants, auditory brainstem implants Effective 1/1/18
Comparative genomic hybridization/chromosomal microarray analysis
Fecal microbiota transplantation (FMT)
Fusion imaging
Gastric pacing
Gastrointestinal (GI) motility monitoring
Genetic testing for hereditary hemochromatosis
Genetic testing for muscular dystrophy and spinal muscular atrophy
Implantable infusion pumps for pain or spasticity Effective 1/1/18
Infertility evaluation and treatments
Intra-operative neurological monitoring
Lymphedema – diagnosis and treatment
Mobility assistive devices (wheelchairs) Effective 1/1/18
Noninvasive prenatal screening
Osteochondral defects surgery
Pharmacogenomics and companion diagnostics
Platelet-derived growth factors for wound healing
Pneumatic compression pumps
Rheumatoid arthritis: biologic markers and pharmacologic assessment
Rhinoplasty/septoplasty
Stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT)

Full details on these changes can be found at Humana.com/provider by selecting “Medical and Pharmacy Coverage Policies” under “Resources.”