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Lung Imaging: Selected Techniques (CPB 0581, reviewed 2026-02-24)

Aetna·Pulmonology, Radiology, Oncology +1 more·Radiology
Effective date
Feb 24, 2026
We identified it
Aug 18, 2026
Days to comply

Summary

Aetna's updated Lung Imaging policy (CPB 0581, effective 2026-02-24) clarifies coverage for Lung Imaging Fluorescence Endoscopy (LIFE) as medically necessary for specific lung cancer detection scenarios, while designating multiple advanced imaging modalities (CALIPER, contrast-enhanced ultrasound, 3D lung CT, Xenon Xe-129, and others) as experimental/investigational and not covered. Billing teams must immediately stop billing non-covered imaging codes and ensure prior authorization documentation for covered LIFE procedures in eligible patient populations.

Action Required

Action needed
IMMEDIATE (effective 2026-02-24): Billing team must update system to deny or require prior authorization for experimental/investigational codes (0807T, 0808T, 0877T, 0878T, 0879T, 0880T, 76978, 76979, A9610, C9791) for ALL indications. For LIFE bronchoscopy procedures (CPT 31622-31640 with LIFE enhancement), implement prior authorization requirements only when patient meets ONE of these criteria: (1) known/previously diagnosed lung cancer, (2) suspected lung cancer with positive sputum cytology, hemoptysis, infiltrates, unresolved pneumonia >30 days, persistent cough, or positive X-ray, or (3) prior resected Stage I lung cancer with no metastatic disease. Providers must document medical necessity using eligible ICD-10 codes (C34.00-C34.92, D02.20-D02.22, C78.00-C78.02, Z85.118) on all claims. Add required documentation checklist to encounter forms for pulmonology/bronchoscopy cases. Claims for non-covered modalities (CALIPER, contrast ultrasound, 3D lung CT, Xenon Xe-129) will be denied. Update denial templates and staff communication. Verify all claims include proper qualifying diagnosis and indication documentation before submission to avoid denials.

Affected Billing Codes

76376
76377
76978
76979
31622
31623
31624
31625
31628
31629
31630
31631
31632
31633
31635
31636
31637
31638
31640
71250
71260
71270
71271
71275
A9610
C9791
C7567