Medicare AdvantageCoverageMedium impact
Autonomic Nerve Function Testing - Medicare Advantage (Revised)
Humana·Neurology, Cardiology, Endocrinology +1 more·Medicare Advantage
Effective date
May 1, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage has established coverage criteria for autonomic nerve function testing effective May 1, 2026. The policy covers cardiovagal, sudomotor, and vasomotor testing when medically necessary based on specific LCD criteria, with coverage varying by geographic jurisdiction.
Action Required
Before May 1, 2026: Review current autonomic nerve function testing claims for CPT codes 95921-95924 to ensure they meet LCD criteria for medical necessity. Billing team must verify which Medicare Administrative Contractor jurisdiction applies to each claim and confirm coverage requirements. Update prior authorization workflows if required by specific MAC LCDs in your service area.