MedicaidCoverageMedium impact
Superficial Radiation Therapy - MEDICAID - VIRGINIA (New)
Humana·VA · Dermatology, Radiation Oncology, Oncology·Medicaid
Effective date
Mar 9, 2026
We identified it
Jun 24, 2026
Summary
New Medicaid Virginia policy establishes coverage for superficial radiation therapy (CPT 77436-77438) for nonmelanoma skin cancer when surgery is not an option, but explicitly excludes coverage for image-guided superficial radiation therapy (CPT 77439).
Action Required
Before March 9, 2026: Billing team must update system to allow CPT codes 77436, 77437, and 77438 for Virginia Medicaid superficial radiation therapy for nonmelanoma skin cancer when surgery is contraindicated. Block CPT 77439 (image-guided superficial radiation therapy) as non-covered. Update encounter forms to require documentation that surgical intervention is contraindicated or refused.