MedicaidCoverageMedium impact
Uterine Fibroid Surgical Treatments - MEDICAID - KENTUCKY (New)
Humana·KY · OB-GYN·Medicaid
Effective date
Nov 12, 2025
We identified it
Jun 24, 2026
Summary
Humana Kentucky Medicaid has established a new policy that explicitly excludes coverage for cryoablation of uterine fibroids, citing insufficient evidence to determine it as standard medical treatment. This policy affects CPT codes 58578 and 58999 for these procedures.
Action Required
Before November 12, 2025: Billing team must update system to deny/flag CPT codes 58578 and 58999 for uterine fibroid cryoablation procedures for Humana Kentucky Medicaid members. Update encounter forms to alert providers that these procedures are not covered. Claims submitted will be denied as not meeting coverage criteria.