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HealthPartnersAll Plans · Coverage · Reimbursement · MN, IA, ND, SD, WI · Cardiology, Orthopedics, Endocrinology +1 moreMedium impact

Fast Facts Newsletter - June (Special Edition) 2026

Act
by Aug 1, 2026
Effective date
Aug 1, 2026
Identified
Jun 19, 2026

Summary

HealthPartners has updated multiple medical policies effective immediately and August 1, 2026, including expanded cardiac monitoring coverage, new prior authorization requirements for prosthetic devices, consolidated nutritional support policies, and new reimbursement policies for single-dose vial billing and 3D imaging services.

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What to do

by Aug 1, 2026 · 4 steps
01Update billing system to require prior authorization for protective outer surface covering systems using codes L5962 and L5964 when criteria are met.
02Remove codes 82172, 83520, 83701, 83704, 83719, and 83722 from cardiovascular risk assessment billing as these will be managed under the new Specialty testing: cardiovascular policy effective July 1, 2026.
03Update policy references for nutritional support to use renamed 'Oral and enteral nutrition' policies.
04Review new Single-Dose Vial Billing Requirements for JZ/JW modifiers and Three-Dimensional (3D) Imaging Services reimbursement policies online.

Codes mentioned

L5962L5964821728352083701837048371983722

Original notice

Fast Facts Newsletter - June (Special Edition) 2026
healthpartners.com · Always check the source before changing claims.
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