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.
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What to do
by Jan 1, 2026 · 3 steps
01Billing team must update system to allow only one unit per date of service for psychotherapy codes 90832-90838 per AMA guidelines.
02Update lipedema treatment criteria to require 6+ months of conservative management before covering CPT codes 15832, 15833, and 15834.
03Review genetic testing and ABA therapy documentation requirements for compliance with revised criteria.
Codes mentioned
15832158331583490832908339083490835908369083790838
Original notice
February 2026
selecthealth.org · Always check the source before changing claims.