Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
HumanaMedicare Advantage · Coverage · Medicare Advantage · Endocrinology, General Surgery, Oncology +1 moreMedium impact

Molecular Markers in Fine Needle Aspirates of Thyroid Nodules - Medicare Advantage (Revised)

Effective date
Sep 2, 2025
Identified
Jun 24, 2026

Summary

Humana Medicare Advantage has revised its policy for molecular markers in fine needle aspirates of thyroid nodules, effective September 2, 2025. The policy establishes coverage criteria for molecular diagnostic tests like Afirma Genomic Sequencing Classifier used to evaluate indeterminate thyroid nodules when cytopathology cannot determine if nodules are malignant or benign.

Get alerts when payers change rules like this one

We check Humana and other payers every day and email you when a change matches your specialty and state.

Get Humana alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Before September 2, 2025: Billing team must review and understand coverage requirements for thyroid nodule molecular testing under Humana Medicare Advantage plans.
02Ensure documentation supports medical necessity criteria and that tests are ordered by treating physicians for management of specific medical problems.
03Verify applicable LCD/LCA requirements based on geographic jurisdiction as coverage varies by Medicare Administrative Contractor region.

Codes mentioned

81546

Original notice

Molecular Markers in Fine Needle Aspirates of Thyroid Nodules - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
View original ↗

Related changes

See all Humana changes →
Molecular Markers in Fine Needle Aspirates of Thyroid Nodules - Medicare Advantage (Revised)HighEffective Sep 10, 2026 · Medicare AdvantageBrowse every Humana change in the policy list

Related policy hubs

Humana policiesEndocrinologyGeneral SurgeryOncologyPathologyCode 81546

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account