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Fast Facts Newsletter - January 2026
HealthPartners·Gastroenterology, Urology, Plastic Surgery +3 more·Pharmacy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
HealthPartners January 2026 newsletter includes multiple policy updates: several medical services added to non-covered/investigational list, surgical treatments for lipedema/lymphedema criteria updated for clarity, and waterjet ablation for BPH no longer requires prior medication trial.
Action Required
Immediately: Update billing system to flag CPT codes 0397T, C9797, C8004, C1982, 0483T, 0484T and HCPCS codes Q4278, Q4275, Q4272, Q4273, Q4274, Q4303, Q4302, Q4270, Q4271, Q4297, Q4239 as non-covered/investigational services. Update lipedema/lymphedema billing documentation requirements to include bilateral symmetric nodular fat deposit confirmation and color photographs. Remove medication trial requirement for waterjet ablation (aquablation) BPH procedures.