UHC November Update

A list of recently approved, revised, and/or retired Medical Policies and/or Medical Benefit Drug Policies is provided below for your reference. For a comprehensive summary of the latest updates, refer to the Medical Policy Update Bulletin: November 2025.

UHC Network News July 1, 2024

Take Note: Quarterly CPT and HCPCS Code Updates

Effective Jul. 1, 2024, all applicable Medical Policies and Medical Benefit Drug Policies have been updated to reflect the quarterly Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) code additions, revisions, and deletions. Refer to the following sources for information on the code updates:

Don’t Miss UHC Updates

Texas Medicaid: Adjustment reimbursement methods coming soon 

Texas Medicaid: Prior autorization updates for certain medications

MLN Connects News

2024 Medicare Part B Deductible.

The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of $14 from the annual deductible of $226 in 2023.

Discarded Drugs and Biologicals:

When to Use JW and JZ Modifiers.

Read updated JW and JZ Modifier FAQs for additional clarity on billing with these modifiers (see FAQs 7, 8, and 18–22). CMS posted a new list of billing and payment codes only used for single-dose containers that may require the modifiers, depending on the setting:

BCBS Pharmacy Quarterly Update

UHC Network News

Don’t Miss UHC

UHC June Monthly Overview

Cigna CoVid Coverage Changes

Changes in coverage effective May 12, 2023

The White House has announced their intent to end both the CoVid-19 National Emergency and Public Health Emergency (PHE) on May 11, 2023.

As a result, Cigna Commercial and Cigna Medicare Advantage plan to make the following changes on May 12, 2023:

  • Authorizations for facility-to-facility transfers will again be required.
  • Patient cost-share will apply to COVID-19 lab tests as well as antiviral and therapeutics approved by the U.S Food & Drug Administration (FDA).
  • For most benefit plans, COVID-19 vaccines will be covered at 100 percent under the preventive benefit (same as the flu shot) when customers go to an in-network provider.
  • Over-the-counter COVID-19 tests will no longer be covered.
Cigna Coverage Changes

UHC March Overview is Here.

UHC Network News is published twice a month.