New and Emerging Medical Technologies and Procedures
Kaiser Permanente Clinical Review Criteria listing new and emerging medical technologies and procedures considered unproven for Non‑Medicare members; provides CPT/HCPCS/PLA/Proprietary codes and descriptions for items considered new/emerging. Medicare guidance supersedes when available.
Multiple CPT and HCPCS codes were added on various dates (e.g., new codes from 04/2020 through 01/01/2024 included across revisions).
Removed codes: K1018, K1019 (03/18/2024); CPT 0380U (07/01/2024); CPT V2525 (12/10/2024); CPT 87154 (12/24/2024); and others as noted.
Added review requirement to code C9757, requires 60-day notice, effective 9/1/2024.
Updated applicable codes effective various dates including new and termed codes effective 1/1/2024 and other quarterly updates.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.