Humana Indiana Medicaid has established a new policy for cutaneous vascular lesion removal (e.g., hemangiomas, port wine birthmarks) effective January 30, 2026. Coverage requires failed conservative treatment or contraindications, plus functional impairment, bleeding/painful lesions on extremities/trunk, or ulceration.
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01Before January 30, 2026: Billing team must update systems to verify Humana Indiana Medicaid members meet coverage criteria for CPT codes 17106, 17107, and 17108.
02Providers must document failed conservative treatment (unless contraindicated) AND functional impairment, bleeding/painful extremity lesions, or ulceration.
03Add verification checklist to scheduling workflow for vascular lesion removals.
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