All PlansCoverageLow impact
Intensity Modulated Radiation Therapy (CPB 0590, reviewed 2026-09-08)
Aetna·Radiation Oncology, Oncology·Medical Policy
We identified it
Oct 6, 2026
Summary
This is a policy review of Aetna's existing IMRT (Intensity Modulated Radiation Therapy) coverage policy CPB 0590, dated 2026-09-08. The policy document does not describe a change but rather restates current coverage criteria, medical necessity requirements, covered CPT/HCPCS codes, and supporting clinical guidelines through eviCore Healthcare. No effective date change or new requirement is stated in the source material.
Action Required
No immediate action required. This appears to be a routine policy review by Aetna on 2026-09-08 with no stated changes to coverage, codes, or requirements. Billing teams should verify that current claims submission for IMRT procedures aligns with the covered codes listed (32553, 49327, 49411, 49412, 77301, 77338, 77387, 77407, 77412, A4648, C1739, C9728) and that prior authorization requests reference eviCore Healthcare Radiation Therapy Clinical Guidelines as specified. Note: eviCore guidelines are reviewed annually and may change without prior notice; draft updates are posted 90 days before implementation. Monitor eviCore communications for any guideline updates that could affect medical necessity determinations.