← Back to list
Ambulatory Cardiac Monitoring Devices - Medicare Advantage (Revised)
Act
by Aug 1, 2026
Effective date
Sep 1, 2026
Identified
Aug 28, 2026
Summary
Humana Medicare Advantage has revised its Ambulatory Cardiac Monitoring Devices policy effective September 1, 2026. The policy provides updated coverage guidance for various cardiac monitoring technologies (Holter monitors, patch recorders, external loop monitors, implantable loop recorders, and mobile cardiac outpatient telemetry) with MAC-specific coverage determinations by geographic jurisdiction. The policy document appears incomplete but establishes that medical necessity determinations will follow applicable NCDs and LCDs based on the member's jurisdiction.
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
by Aug 1, 2026 · 6 steps
01Billing team must review the complete policy document (this excerpt is incomplete at page 5 of 13) and identify all applicable MAC LCDs for your service area jurisdiction.
02Update billing system rules to require prior authorization and medical necessity documentation for CPT codes 93224-93226 (Holter monitors) and 93241-93248 (long-term continuous cardiac rhythm monitors) according to the specific LCD requirements for your geographic MAC jurisdiction.
03Verify which MAC applies to your practice location using the MAC jurisdiction table provided.
04Obtain and implement the detailed coverage criteria from applicable LCDs (e.g., L39490, L39492, L40244, L40255, L40257) before the September 1, 2026 effective date.
05Failure to apply correct jurisdiction-specific LCD requirements will result in claim denials.
06Flag to cardiology and internal medicine providers that cardiac monitoring device ordering must include specific medical necessity justification tied to the LCD requirements for your region.
Codes mentioned
93224932259322693241932429324393244932469324793248
Original notice
Ambulatory Cardiac Monitoring Devices - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Ambulatory Cardiac Monitoring Devices - Medicare Advantage (Revised)MediumEffective Jun 21, 2026 · Medicare AdvantageAmbulatory Cardiac Monitoring Devices - Medicare Advantage (Revised)MediumEffective Jun 28, 2026 · Medicare AdvantageAmbulatory Cardiac Monitoring Devices - Medicare Advantage (Revised)MediumNo effective date · Medicare AdvantageBrowse every Humana change in the policy list
Related policy hubs
Humana policiesAR policy changesCO policy changesLA policy changesMS policy changesNM policy changesOK policy changesTX policy changesDE policy changesDC policy changesMD policy changesNJ policy changesPA policy changesFL policy changesPR policy changesVI policy changesKY policy changesOH policy changesIA policy changesKS policy changesMO policy changesNE policy changesIN policy changesMI policy changesCA policy changesHI policy changesNV policy changesAK policy changesAZ policy changesID policy changesMT policy changesND policy changesOR policy changesSD policy changesUT policy changesWA policy changesWY policy changesAL policy changesGA policy changesTN policy changesNC policy changesSC policy changesVA policy changesWV policy changesCardiologyInternal MedicineCritical CareCode 93224Code 93225Code 93226Code 93241Code 93242Code 93243Code 93244Code 93246Code 93247Code 93248