Notification Number: 3450
Effective date: 3/1/2018
Notification date: 12/1/2017
Topic: Infrared therapy
The use of infrared therapy devices are not covered.
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.
Claim edits do not supersede the necessity to obtain preauthorization. Preauthorization requirements are still applicable. Modifiers should be used when appropriate to accurately represent the services rendered. The use of modifiers may impact Humana’s application of these edits. For additional information, consult professional coding resources.
*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.