Medicare AdvantageCoverageMedium impact
Coronary CT Angiography, Fractional Flow Reserve with CT and Adjunctive Testing - Medicare Advantage (Revised)
Humana·Cardiology, Radiology·Medicare Advantage
Effective date
May 1, 2026
We identified it
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.
Action Required
Before 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. Ensure documentation meets reasonable and necessary requirements per referenced LCDs. Update prior authorization processes if required by your specific MAC jurisdiction.