Medicare AdvantageCoverageMedium impact
Computed Tomography Angiography (CTA) of the Chest, Abdomen and Pelvis - Medicare Advantage (Revised)
Humana·Cardiology, Radiology, General Surgery +2 more·Medicare Advantage
We identified it
Jun 30, 2026
Summary
Humana Medicare Advantage has issued a revised policy on Computed Tomography Angiography (CTA) of the chest, abdomen, and pelvis. This 1-day-old policy redefines coverage parameters for CTA imaging, including use for detecting vascular abnormalities, blood clots, aneurysms, tumors, and pre- and post-surgical planning. Billing teams must immediately verify whether this revision changes prior authorization requirements, coverage limitations, or documentation standards compared to the previous policy.
Action Required
Immediately: Billing and clinical teams must obtain the full policy document (not just the summary) from the provided Humana URL to determine: (1) whether prior authorization is required for CTA chest/abdomen/pelvis procedures; (2) any changes to covered indications compared to the superseded policy; (3) specific documentation requirements. Update billing system rules and provider encounter forms accordingly. Compare this revised policy against the previous version to identify specific workflow changes. Flag any claims submitted under the old policy guidance for potential rework. Contact Humana directly at the DCTM portal if the full policy text is not accessible to ensure compliance before processing claims.