17261 Insurance Policy Changes

Cryoablation - Medicare Advantage (Revised)

Humana Medicare Advantage has revised its cryoablation coverage policy (HUM-1065-003), effective August 3, 2026. The policy establishes specific medical necessity criteria for cryoablation across multiple indications including malignant skin lesions, liver tumors, lung tumors, and renal cell carcinoma, with defined CPT codes and clinical requirements. Billing teams must ensure claims meet the documented criteria or face denials.