Clinical/Medical Policy policy updates
Track new and updated Clinical/Medical Policy policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Spinal Ultrasound | American Specialty Health | Clinical | Radiology/Diagnostic Imaging | Modified | Sep 15, 2026 |
| Electric Stimulation for Pain, Swelling and Function in a Clinic Setting | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Aug 15, 2026 |
| Cigna Medical Coverage Policy - Therapy Services Cognitive Rehabilitation | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Jul 15, 2026 |
| Range of Motion Testing (CPG 146) | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Jun 15, 2026 |
| Therapy Services — Strapping and Taping | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | May 15, 2026 |
| Therapy Services — Home Traction Devices (Cervical and Lumbar) | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Apr 15, 2026 |
| Therapy Services: Axial/Spinal Decompression Therapy and Mechanical Traction (Provided in a Clinic Setting) | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Apr 15, 2026 |
| Therapy Services — Low-Level Laser and High-Power Laser Therapy | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Mar 15, 2026 |
| Cigna Medical Coverage Policy - Therapy Services Chiropractic Care | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Dec 15, 2025 |
| Therapy Services - Occupational Therapy (Coverage Criteria) | American Specialty Health | Clinical | Physical Medicine, Rehab & Therapies | Modified | Dec 15, 2025 |
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.
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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.