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CommercialCoverageMedium impact

25-1157 Important Update: CPT Code 0449U Will No Longer Be Covered Starting February 20, 2026

Health Net·CA · OB-GYN, Family Medicine, Internal Medicine +1 more·Coding
Effective date
Feb 20, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

CPT code 0449U (UNITY Carrier Screen™) will no longer be covered by Health Net starting February 20, 2026. Providers must refer patients to in-network laboratories like Quest Diagnostics and LabCorp for equivalent genetic carrier screening services to avoid unexpected out-of-pocket costs.

Action Required

Action needed
Before February 20, 2026: Billing team must update system to flag CPT 0449U as non-covered for Health Net plans. Providers must redirect patients needing genetic carrier screening to Quest Diagnostics or LabCorp instead of BillionToOne Laboratory. Update encounter forms and staff training materials to reflect this change.