CPT 36823, in plain terms, covers Insertion of artery and vein cannulas for isolated circulation of a limb, used for regional chemotherapy perfusion. CPT 36823 is referenced in 3 tracked payer policy changes from Humana. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 36823 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 36823 on AAPC
This is a comprehensive Medicare Advantage policy update (effective 10/01/2026) establishing coverage criteria for hyperthermia and ultrasound-based ablative cancer treatments. The policy provides specific medical necessity requirements for HIPEC, ILI/ILP, and laser therapy procedures, with defined billing codes and clinical indications that billing teams must verify before claim submission.
Humana Medicare Advantage updates coverage criteria for hyperthermia and ultrasound-based ablative cancer treatments effective April 1, 2026. The policy establishes specific medical necessity requirements for HIPEC (CPT 96547, 96548), ILI/ILP (CPT 36823), laser therapy (CPT 0970T, 0971T), and HIFU (CPT 55880) procedures. Billing teams must verify patient eligibility against these criteria and ensure proper documentation before claim submission.
Humana Medicare Advantage updated coverage criteria for hyperthermia and ultrasound-based ablative cancer treatments, establishing specific medical necessity requirements for HIPEC, ILI/ILP, laser therapy, and HIFU procedures. The policy provides detailed coverage determinations for various cancer treatment approaches including specific indications and patient criteria.
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