Medicare AdvantageCoverageHigh impact
Spinal Decompression Surgery - Medicare Advantage (Revised)
Humana·Orthopedics, Neurosurgery, Pain Management·Medicare Advantage
Effective date
Feb 2, 2026
We identified it
Jun 24, 2026
Summary
This is a revised Medicare Advantage medical coverage policy for spinal decompression surgery procedures including discectomy, laminectomy, foraminectomy, and minimally invasive approaches. The policy provides comprehensive coverage determinations and coding guidance for various spinal decompression techniques.
Action Required
Before February 2, 2026: Billing team must review and update spinal decompression surgery billing procedures for Medicare Advantage plans according to Humana policy HUM-1216-005. Verify coverage determinations for procedures including discectomy, laminectomy, foraminectomy, and minimally invasive spinal procedures. Ensure documentation requirements align with updated policy guidelines to prevent claim denials.