Medicare AdvantageCoverageMedium impact
Computed Tomography Angiography (CTA) of the Chest, Abdomen and Pelvis - Medicare Advantage (New)
Humana·Radiology, Cardiology, Vascular Surgery +3 more·Medicare Advantage
Effective date
Jan 2, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage has established a new comprehensive policy for Computed Tomography Angiography (CTA) of the chest, abdomen, and pelvis, defining specific medical necessity criteria for coverage. This policy provides detailed indications for when CTA procedures will be considered medically reasonable and necessary, including trauma, vascular disease, pre/post-surgical planning, and various anatomical conditions.
Action Required
Before January 2, 2026: Billing team must review all CTA orders for chest (CPT 71275), abdomen and pelvis (CPT 72191, 74174, 74175) to ensure they meet the specific medical necessity criteria outlined in this policy. Update prior authorization processes and provider documentation requirements to include the detailed indications listed. Train providers on the specific qualifying conditions to prevent claim denials.