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New and Emerging Medical Technologies and Procedures
Effective date
Oct 1, 2026
Identified
Jul 7, 2026
Summary
New and emerging medical technologies and procedures named in the listed codes are considered investigational because the current scientific evidence is not yet sufficient to establish their impact on health outcomes. Contracts exclude investigational and cosmetic services or procedures from coverage. Providers may bill members for investigational or cosmetic services and are encouraged to tell members before rendering them that the members are likely to be financially responsible for the cost.
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What to do
Action · 3 steps
01Already effective October 1, 2026: Contracts exclude the listed investigational services from coverage.
02Providers are encouraged to inform members before rendering these services that the members are likely to be financially responsible for the cost.
03Providers may bill members for these services.
Codes mentioned
83951C1824C8001C8003K1030L8605
Original notice
New and Emerging Medical Technologies and Procedures
beonbrand.getbynder.com · Always check the source before changing claims.