CommercialCoverageMedium impact
February 2026
SelectHealth·General Surgery, Psychiatry, Oncology +1 more·Policy Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Select Health published multiple policy updates effective January 2026, including new breast cancer screening coding requirements, revised ABA therapy criteria, genetic testing coverage changes, extended conservative management requirements for lipedema treatment, and restrictions on psychotherapy billing codes to one unit per date of service.
Action Required
By January 1, 2026: Billing team must update system to allow only one unit per date of service for psychotherapy codes 90832-90838 per AMA guidelines. Update lipedema treatment criteria to require 6+ months of conservative management before covering CPT codes 15832, 15833, and 15834. Review genetic testing and ABA therapy documentation requirements for compliance with revised criteria.