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Cutaneous Vascular Lesion Removal - MEDICAID - KENTUCKY (New)
Effective date
Sep 16, 2026
Identified
Oct 6, 2026
Summary
Humana Kentucky Medicaid has introduced a new coverage policy (effective 09/16/2026) for cutaneous vascular lesion removal procedures. The policy requires prior authorization and establishes specific medical necessity criteria, including failed conservative treatment or contraindicated conservative care, plus documented functional impairment, recurrent bleeding/painful nodules, or ulceration. Billing teams must implement prior authorization requirements for CPT codes 17106, 17107, and 17108.
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What to do
Action · 5 steps
01As of 2026-09-16 (already effective as of analysis date 2026-10-06): Verify that the billing team has implemented prior authorization requirements in the billing system for CPT codes 17106, 17107, and 17108 for Humana Healthy Horizons Kentucky Medicaid members.
02Confirm that prior authorization submission includes documentation of: (1) failed previous conservative treatment OR contraindication for conservative treatment; AND (2) at least one of the following—functional impairment affecting vital structures/functions, extremity/trunk lesions with recurrent bleeding or painful nodules, or ulcerated lesions.
03For members under age 21, ensure requests are reviewed for medical necessity in accordance with EPSDT requirements.
04Update encounter forms and provider communication materials to reflect these coverage criteria.
05Check current applicability with Humana Kentucky Medicaid directly, as this is a newly issued policy.
Codes mentioned
171061710717108
Original notice
Cutaneous Vascular Lesion Removal - MEDICAID - KENTUCKY (New)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Cosmetic and Reconstructive Surgery - Medicare Advantage (Revised)HighEffective Oct 1, 2026 · Medicare AdvantageCutaneous Vascular Lesion Removal - MEDICAID - KENTUCKY (New)HighEffective Sep 16, 2026 · MedicaidCosmetic and Reconstructive Surgery - Medicare Advantage (Revised)HighEffective Mar 2, 2026 · Medicare AdvantageCutaneous Vascular Lesion Removal - MEDICAID - INDIANA (New)MediumEffective Jan 30, 2026 · MedicaidBrowse every Humana change in the policy list