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HumanaMedicare Advantage · Coverage · Medicare Advantage · Pulmonology, Critical Care, Internal Medicine +1 moreMedium impact

Multi-Function Oscillation Lung Expansion Therapy - Medicare Advantage (Revised)

Effective date
May 1, 2026
Identified
Jun 24, 2026

Summary

Humana Medicare Advantage will NOT cover Multi-Function Oscillation Lung Expansion (OLE) therapy devices (HCPCS E0469) effective May 1, 2026. These respiratory therapy devices are considered not medically reasonable and necessary, meaning all claims will be denied.

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What to do

Action · 4 steps
01Before May 1, 2026: Billing team must update system to automatically deny/flag HCPCS E0469 claims for Humana Medicare Advantage patients.
02Notify providers that Multi-Function OLE therapy devices (BiWaze Clear System, Volara System) are non-covered services.
03Update encounter forms and EMR templates to warn of non-coverage.
04Claims submitted will be denied as not medically necessary.

Codes mentioned

E0469

Original notice

Multi-Function Oscillation Lung Expansion Therapy - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
View original ↗

Related changes

See all Humana changes →
Multi-Function Oscillation Lung Expansion Therapy - MEDICAID - VIRGINIA (Revised)MediumEffective Jul 22, 2026 · MedicaidMulti-Function Oscillation Lung Expansion Therapy - MEDICAID - VIRGINIA (New)MediumEffective Jul 1, 2025 · MedicaidBrowse every Humana change in the policy list

Related policy hubs

Humana policiesPulmonologyCritical CareInternal MedicineFamily MedicineCode E0469

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