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HumanaMedicare Advantage · Coverage · Medicare Advantage · Cardiology, RadiologyMedium impact

Coronary CT Angiography, Fractional Flow Reserve with CT and Adjunctive Testing - Medicare Advantage (Revised)

Effective date
May 1, 2026
Identified
Jun 24, 2026

Summary

Humana Medicare Advantage updated their policy for coronary CT angiography, fractional flow reserve with CT, and adjunctive cardiac testing. The policy provides coverage determination guidance and references applicable local coverage determinations by MAC jurisdiction, effective May 1, 2026.

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What to do

Action · 3 steps
01Before May 1, 2026: Review applicable Local Coverage Determinations (LCDs) for your MAC jurisdiction to understand specific coverage criteria for coronary CT angiography (CPT 75574) and fractional flow reserve testing.
02Ensure documentation meets reasonable and necessary requirements per referenced LCDs.
03Update prior authorization processes if required by your specific MAC jurisdiction.

Codes mentioned

75574

Original notice

Coronary CT Angiography, Fractional Flow Reserve with CT and Adjunctive Testing - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
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Related changes

See all Humana changes →
Coronary CT Angiography, Fractional Flow Reserve with CT and Adjunctive Testing - Medicare Advantage (Revised)MediumEffective Jul 1, 2026 · Medicare AdvantageBrowse every Humana change in the policy list

Related policy hubs

Humana policiesCardiologyRadiologyCode 75574

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