Mutual News September 2026 Newsletter
Medical Mutual released a September 2026 policy newsletter with multiple medical policy updates including 5 new policies (low-frequency ultrasound therapy, phrenic nerve stimulation, gastric electrical stimulation, drug-eluting sinus devices, and sleep studies), 3 archived/retired policies, and updates to existing policies affecting billing codes. Key code changes include additions to prior authorization lists for EMDR (archived), low-level laser therapy (CPT 1011T, 97037), peripheral nerve stimulation (HCPCS A4541, E0733 reinstated), and skin surveillance (CPT 1020T). Multiple Avalon laboratory billing codes (G-codes and M-codes) were updated. Administrative changes are effective 15 days from September 1, 2026; material changes effective 90 days; new prior authorizations effective 30 days.