CommercialCoverageHigh impact
March 2026
SelectHealth·Anesthesiology, General Surgery, OB-GYN +6 more·Coding
Effective date
Apr 2, 2026
We identified it
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.
Action Required
Immediately: Review and implement all 14 policy changes affecting coverage criteria and provider requirements across multiple specialties. Update billing systems to use CPT 81479 for multianalyte tests without specific panel codes. Prepare for new coding editing system launching Q2 2026 that will require strict adherence to CMS requirements and established coding guidelines. Review updated Vitamin D and T3 laboratory testing guidelines. Failure to comply with new editing system standards may result in claim denials.