Medicare AdvantageBilling CodesMedium impact
Superficial Radiation Therapy - Medicare Advantage (Revised)
Humana·Dermatology, Radiation Oncology, Oncology·Medicare Advantage
Effective date
Mar 10, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage has updated its Superficial Radiation Therapy policy effective March 10, 2026, introducing new CPT codes (77436, 77437, 77438, 77439) that become active January 1, 2026. The policy establishes coverage criteria for treating nonmelanoma skin cancers with SRT, following Medicare Administrative Contractor guidelines.
Action Required
Before January 1, 2026: Billing team must update coding systems to include new CPT codes 77436, 77437, 77438, and 77439 for superficial radiation therapy. Review and implement coverage criteria from applicable Medicare Administrative Contractor LCDs based on practice location. Ensure documentation supports medical necessity for nonmelanoma skin cancer treatment to avoid claim denials.