Medicare AdvantageCoverageMedium impact
Upper and Lower Extremity Magnetic Resonance Angiography (MRA) - Medicare Advantage (New)
Humana·Radiology, Vascular Surgery, Cardiology +1 more·Medicare Advantage
Effective date
Jan 2, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage has established new medical necessity criteria for upper and lower extremity MRA procedures, defining specific covered indications and explicitly excluding surveillance/screening for post-interventional intimal hyperplasia. This policy provides detailed coverage guidelines where CMS guidance was previously limited or absent.
Action Required
By January 2, 2026: Billing team must update prior authorization requirements for extremity MRA codes (C8934, C8935, C8936, 73725, C8912, C8913, C8914) to ensure documentation supports specific covered indications listed in policy. Update encounter forms to remind providers that surveillance/screening for post-interventional intimal hyperplasia is not covered. Claims not meeting medical necessity criteria will be denied.