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Fast Facts Newsletter - April (Special Edition) 2026
HealthPartners·MN · Orthopedics, Plastic Surgery, Nephrology +3 more·Reimbursement
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
HealthPartners has made multiple policy changes effective immediately and June 1, 2026, including retiring reconstructive surgery policy, adding new investigational services as non-covered, updating home health criteria to use InterQual standards, and revising arthroplasty policies for all plan types.
Action Required
Immediately: Update billing system to mark CPT 36836, 36837, 15011-15018 and HCPCS E0767, E0743, A4544, C8002, C1832 as non-covered investigational services. By June 1, 2026: Implement InterQual LOC Home Care criteria for home health services and review updated hip/knee arthroplasty policies at Cohere Health portal. Update reconstructive surgery claims to use cosmetic and reconstructive procedures policy instead of retired policy.