Who is affected by this change?

This affects Harvard Pilgrim Health Care on Commercial plans.

When does this change take effect?

This change is effective Jan 1, 2026.

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CommercialBilling CodesHigh impact

New 2026 CPT and HCPCS codes

Harvard Pilgrim Health Care·Coding

Effective date

Jan 1, 2026

We identified it

Jun 20, 2026

Days to comply

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Summary

Point32Health will accept new 2026 CPT and HCPCS codes starting January 1, 2026, and will deny claims using deleted codes after December 31, 2025. The insurer will update their systems and payment policies in Q1 2025 to reflect these code changes.

Action Required

Action needed

By December 31, 2025: Billing team must update all systems and encounter forms to use only valid 2026 CPT and HCPCS codes. Remove all deleted codes from billing software and replace with new 2026 codes. Monitor Point32Health policy updates in Q1 2025 for specific code changes. Claims submitted with deleted codes after Dec 31, 2025 will be denied.

Related policy hubs

Harvard Pilgrim Health Care policies