Medicare AdvantageCoverageLow impact
Upper and Lower Extremity Magnetic Resonance Angiography/Venography - Medicare Advantage (Revised)
Humana·Radiology, Vascular Surgery, Cardiology +1 more·Medicare Advantage
We identified it
Jul 2, 2026
Summary
This is a newly revised Medicare Advantage policy on upper and lower extremity MRA/MRV imaging. The policy describes the clinical indications and technical parameters for these noninvasive vascular imaging procedures but provides only summary-level content without specific coverage criteria, prior authorization requirements, or billing code details. The billing team cannot implement specific operational changes based on this summary-only document.
Action Required
CRITICAL: Request the full policy document from Humana at the source URL (https://dctm.humana.com/Mentor/Web/v.aspx?objectID=090009298a569a26). The current summary-only version does not contain the specific coverage rules, prior authorization requirements, or affected CPT codes (likely 70544, 70545, 70546, 70547, 73725, 73726) needed for billing implementation. Once the full policy is obtained, reassess impact level and determine whether prior auth, documentation requirements, or billing workflow changes are necessary. Failure to obtain the complete policy may result in claim denials if coverage or authorization requirements exist but are not followed.