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Peripheral Artery Revascularization of the Lower Extremities - Medicare Advantage (Revised)

Humana·Vascular Surgery, Cardiology, Radiology·Medicare Advantage
Effective date
May 1, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Humana has updated their Medicare Advantage policy for peripheral artery revascularization of the lower extremities, establishing new medical necessity criteria for atherectomy procedures and intravascular ultrasound. The policy provides specific coverage guidelines for endovascular treatments including angioplasty, stenting, and atherectomy procedures.

Action Required

Action needed
Before May 1, 2026: Billing team must update prior authorization protocols for atherectomy procedures (CPT codes 37271, 37273, 37275, 37277, 37288, 37290, 37292, 37294) to ensure documentation of CLTI with Rutherford scale 4-6, in-stent restenosis, or threatened bypass graft. Update encounter forms to remind providers of new medical necessity criteria. Claims without proper documentation will be denied.

Affected Billing Codes

37254
37256
37258
37260
37263
37265
37267
37269
37280
37282
37284
37286
37296
37298
36245
36246
36247
36248
37271
37273
37275
37277
37288
37290
37292
37294
37252
37253