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SelectHealthCommercial · Coverage · Coding · Anesthesiology, General Surgery, OB-GYN +6 moreHigh impact

March 2026

Act
immediately
Effective date
Apr 2, 2026
Identified
Jun 20, 2026

Summary

Select Health has implemented 4 new coding policies and revised 10 medical policies with changes to coverage criteria, provider eligibility, and age requirements across multiple specialties. A new coding editing system will launch in Q2 2026 that will adhere to CMS requirements, and specific guidance has been updated for laboratory billing including the use of CPT 81479 for unlisted molecular pathology procedures.

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What to do

immediately · 4 steps
01Review and implement all 14 policy changes affecting coverage criteria and provider requirements across multiple specialties.
02Update billing systems to use CPT 81479 for multianalyte tests without specific panel codes.
03Prepare for new coding editing system launching Q2 2026 that will require strict adherence to CMS requirements and established coding guidelines.
04Review updated Vitamin D and T3 laboratory testing guidelines.
If missed: Failure to comply with new editing system standards may result in claim denials.

Codes mentioned

81479

Original notice

March 2026
selecthealth.org · Always check the source before changing claims.
View original ↗

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Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

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