MedicaidCoverageMedium impact
Superficial Radiation Therapy - MEDICAID - SOUTH CAROLINA (New)
Humana·SC · Dermatology, Radiation Oncology, Oncology·Medicaid
Effective date
Mar 9, 2026
We identified it
Jun 24, 2026
Summary
Humana has established a new Medicaid policy in South Carolina covering superficial radiation therapy (SRT) for nonmelanoma skin cancers when surgery is contraindicated or refused. The policy specifically excludes coverage for image-guided superficial radiation therapy due to insufficient evidence.
Action Required
Before March 9, 2026: Billing team must update system to recognize covered CPT codes 77436, 77437, 77438, and 77439 for superficial radiation therapy for South Carolina Medicaid members with nonmelanoma skin cancers only when surgery is contraindicated or refused. Ensure claims include proper documentation of surgical contraindication. Do not bill for image-guided superficial radiation therapy as it is not covered.