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Fast Facts Newsletter - June (Special Edition) 2026
HealthPartners·MN, IA, ND, SD, WI · Cardiology, Orthopedics, Endocrinology +1 more·Reimbursement
Effective date
Aug 1, 2026
We identified it
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.
Action Required
By August 1, 2026: Update billing system to require prior authorization for protective outer surface covering systems using codes L5962 and L5964 when criteria are met. Remove 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. Update policy references for nutritional support to use renamed 'Oral and enteral nutrition' policies. Review new Single-Dose Vial Billing Requirements for JZ/JW modifiers and Three-Dimensional (3D) Imaging Services reimbursement policies online.