Pulmonology policy updates
Track new and updated Pulmonology policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Therapeutic Utilization of Inhaled Nitric Oxide | Arizona Complete Health | Clinical | Pulmonology | Modified | Aug 1, 2026 |
| Pulmonary Function Testing (PFT) | Arizona Complete Health | Clinical | Pulmonology | Modified | Aug 1, 2026 |
| Home Ventilators (noninvasive and invasive) | Arizona Complete Health | Clinical | Pulmonology | Modified | Jun 1, 2026 |
| Lung Transplantation | Arizona Complete Health | Clinical | Pulmonology | Modified | Jun 1, 2026 |
| Outpatient Oxygen Use | Arizona Complete Health | Clinical | Pulmonology | Modified | May 1, 2026 |
| Bronchial Thermoplasty (BT) Clinical Policy | Arizona Complete Health | Clinical | Pulmonology | Modified | Apr 1, 2026 |
| Diaphragmatic/Phrenic Nerve Stimulation (Diaphragm Pacing) | Arizona Complete Health | Clinical | Pulmonology | Modified | Oct 1, 2025 |
| Respiratory Syncytial Virus (RSV) - Synagis (palivizumab) prior authorization | Arizona Complete Health | Clinical | Pulmonology | Modified | — |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.