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Medicare AdvantageCoverageMedium impact

Cardiac Computed Tomography (CT) - Medicare Advantage (New)

Humana·Cardiology, Radiology, Cardiothoracic Surgery·Medicare Advantage
Effective date
Feb 2, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicare Advantage has established a new medical coverage policy for Cardiac CT procedures (CPT 75572 and 75573), adding coverage for post-left atrial appendage closure device placement evaluation. The policy follows existing CMS guidelines but adds this specific indication for cardiac CT coverage.

Action Required

Action needed
By February 2, 2026: Billing team must update prior authorization and coverage determination processes for CPT codes 75572 and 75573 for Humana Medicare Advantage patients. Add post-left atrial appendage closure device placement evaluation as a covered indication. Verify jurisdiction-specific LCD requirements based on patient location (IL, MN, WI, CT, MA, ME, NH, NY, RI, VT, KY, OH, AL, GA, TN, NC, SC, VA, WV).

Affected Billing Codes

75572
75573