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Upper and Lower Extremity Computed Tomography Angiography (CTA) - Medicare Advantage (Revised)

Humana·Radiology, Vascular Surgery, Cardiology +2 more·Medicare Advantage
Effective date
May 1, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicare Advantage has updated their medical coverage policy for upper and lower extremity CT angiography (CTA), establishing specific clinical criteria for when these procedures are considered medically necessary. The policy provides detailed coverage criteria for CPT codes 73206 (upper extremity CTA) and 73706 (lower extremity CTA), effective May 1, 2026.

Action Required

Action needed
Before May 1, 2026: Review and document medical necessity for upper and lower extremity CTA orders to ensure they meet Humana's specific coverage criteria. Update clinical documentation templates to include required indications such as trauma, peripheral arterial disease, vascular malformations, or other covered conditions listed in the policy. Claims not meeting these criteria may be denied as not medically reasonable and necessary.

Affected Billing Codes

73206
73706