Medicare AdvantageCoverageMedium impact
Elective Aorta and Iliac Artery Aneurysm Repair - Medicare Advantage (Revised)
Humana·Vascular Surgery, Cardiothoracic Surgery, General Surgery·Medicare Advantage
Effective date
Feb 2, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage updated their elective aortic and iliac artery aneurysm repair policy with revised medical necessity criteria and coverage determinations. The policy establishes specific diameter thresholds and requirements for open surgical repair, endovascular repair (EVAR), and fenestrated endovascular repair (FEVAR) procedures.
Action Required
Before February 2, 2026: Billing team must update prior authorization requirements for aortic and iliac aneurysm repair procedures. Ensure documentation includes aneurysm diameter measurements, imaging studies (CT, MRI, TTE), patient height for short stature considerations, and shared decision-making notes when applicable. Update billing system to verify medical necessity criteria are met before submitting claims for CPT codes 34830-34848, 33875, and 33877.