CommercialAdministrativeHigh impact
April 2026
SelectHealth·Cardiothoracic Surgery, General Surgery, Hematology +4 more·Policy Bulletin
Effective date
Apr 6, 2026
We identified it
Jun 20, 2026
Summary
Select Health implemented multiple policy updates in March 2026 affecting surgical procedures, coding requirements, and coverage criteria. Key changes include modified transplant coverage requirements, expanded varicose vein procedure coverage, and a new coding editing system launching April 6, 2026 that will enforce stricter CMS compliance.
Action Required
By April 6, 2026: Billing team must prepare for new coding editing system that enforces CMS requirements and coding guidelines. Review all Select Health policy changes effective March 2026, particularly transplant procedures (heart, liver, lung, stem cell), bariatric surgery criteria, varicose vein procedures, and negative pressure wound therapy requirements. Update billing software to ensure proper modifier usage, correct unit reporting, and accurate diagnosis-to-procedure code mapping to prevent claim denials under the new system.