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HealthPartnersCommercial · Coverage · Reimbursement · MN · Orthopedics, Plastic Surgery, Nephrology +2 moreMedium impact

Fast Facts Newsletter - April (Special Edition) 2026

Act
immediately
Effective date
Apr 1, 2026
Identified
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.

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What to do

immediately · 3 steps
01Update billing system to mark CPT 36836, 36837, 15011-15018 and HCPCS E0767, E0743, A4544, C8002, C1832 as non-covered investigational services.
02By June 1, 2026: Implement InterQual LOC Home Care criteria for home health services and review updated hip/knee arthroplasty policies at Cohere Health portal.
03Update reconstructive surgery claims to use cosmetic and reconstructive procedures policy instead of retired policy.

Codes mentioned

36836368371501115012150131501415015150161501715018E0767E0743A4544C8002C1832

Original notice

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

Related changes

See all HealthPartners changes →
Fast Facts Newsletter - April (Special Edition) 2026MediumEffective Jun 1, 2026 · ReimbursementFast Facts Newsletter - April (Special Edition) 2025MediumNo effective date · PharmacyFast Facts Newsletter - April (Special Edition) 2025MediumNo effective date · PharmacyBrowse every HealthPartners change in the policy list

Related policy hubs

HealthPartners policiesMN policy changesOrthopedicsPlastic SurgeryNephrologyVascular SurgeryWound CareCode 36836Code 36837Code 15011Code 15012Code 15013Code 15014Code 15015Code 15016Code 15017Code 15018Code E0767Code E0743Code A4544Code C8002Code C1832

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