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Provider Policy Updates | March 2026
Effective date
Not stated in the notice
Identified
Sep 23, 2026
Summary
Historical material: Select Health's March 2026 provider policy bulletin (published March 12, 2026, first found by PolicyChanges on September 23, 2026) lists new and revised medical and coding policies with dates from January 1 to February 19, 2026, all of which are now past. The main billing-relevant point is the lab guidance to bill one unit of CPT 81479 when a multianalyte test is run on one wet-lab procedure with no panel code, and the notice warns that a new editing system was expected to launch in early Q2 2026 and that noncompliant coding may lead to claim denials.
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What to do
Action · 6 steps
01Historical, already past (confirm current status before relying on it): Billing team: confirm the current Select Health policy for each item in this bulletin before submitting claims, because these changes took effect in January and February 2026.
02Lab billing: when a multianalyte test uses one wet-lab procedure and no specific panel code exists, bill one unit of CPT 81479 per the Diagnostic Laboratory and Genetic Test coding policy (CR-100), and review the Laboratory Utilization Policies booklet for updated criteria on 25-hydroxyvitamin D and free T3 testing.
03Charge entry: check modifiers, units and diagnosis-to-procedure links before submitting, because the notice says the new editing system follows standard coding guidelines and that failure to comply may result in claim denials.
04Confirm the new editing system is live, since the notice expected it in early Q2 2026.
05Clinical and scheduling staff: update criteria checklists for the revised policies, including acute inpatient rehabilitation (policy 443, the 60-day stroke rehab start requirement was removed), infusion pumps for chronic pain (policy 609, clarified physician and therapy requirements), transcranial magnetic stimulation (policy 241, minimum age lowered to 15), monitored anesthesia care (policy 641, anesthesia assistants now eligible), living donor liver transplant (policy 143), small bowel transplant (policy 640), hysterectomy (policy 620), hyperbaric oxygen (policy 129, up to 20 additional treatments with physician review) and genetic testing for prostate cancer prognosis (policy 544).
06Genetic testing staff: for new monogenic diabetes testing (policy 699, effective January 23, 2026), confirm the order and documentation match the new policy.
Codes mentioned
81479
Original notice
Provider Policy Updates | March 2026
selecthealth.org · Always check the source before changing claims.
Related changes
See all SelectHealth changes →Policy Update Bulletin (March 2026)HighEffective Apr 2, 2026 · Policy BulletinPolicy Update Bulletin (March 2026)MediumEffective Apr 2, 2026 · Policy BulletinMarch 2026HighEffective Apr 2, 2026 · CodingProvider Policy Updates | May 2026MediumEffective Jun 1, 2026 · Policy BulletinBrowse every SelectHealth change in the policy list