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Code edit notification

Notification Number: 3450

Effective date: 3/1/2018

Notification date: 12/1/2017

Category: CPT

Topic: Infrared therapy

Providers affected:

  • Inpatient/Outpatient Facilities
  • Physician/Health Care Providers
What is changing?

The use of infrared therapy devices are not covered.

Why is Humana implementing this change?

The Centers for Medicare & Medicaid Services has determined that infrared therapy devices and related accessories are not reasonable and necessary, and that, therefore, Original Medicare (OM) does not cover those services. Because OM does not cover those services, they are not covered as Medicare Advantage (MA) basic benefits, and, therefore, Humana MA plans also do not cover those services.

Impacted products

  • Medicare Advantage HMO products
  • Medicare Advantage PFFS products
  • Medicare Advantage PPO products

Disclaimer

*All edits previously posted on Humana.com/providers for fully insured commercial Humana members may be applied to self-funded members, when requested by the self-funded group.