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Code Compendium (Musculoskeletal and Neurologic) - Medicare Advantage (Revised)

Humana·Orthopedics, Neurology, PM&R (Physical Medicine & Rehab) +2 more·Medicare Advantage
Effective date
Dec 1, 2025
We identified it
Jun 24, 2026
Days to comply
—

Summary

Humana Medicare Advantage will not cover autologous stem cell therapy, hydrodissection, medial knee implantable shock absorbers, or robot-assisted stroke therapy devices effective December 1, 2025. These services are deemed not medically reasonable and necessary.

Action Required

Action needed
Before December 1, 2025: Update billing system to flag codes 38232, 0565T, 0566T, 0717T, 0718T, C8003, E0738, and E0739 as non-covered for Humana Medicare Advantage plans. Train billing staff to identify these procedures and inform patients of non-coverage. Update encounter forms to alert providers that these services will not be reimbursed.

Affected Billing Codes

38232
C8003
E0738
E0739