Point32Health will accept new 2026 CPT and HCPCS codes for dates of service beginning Jan. 1, 2026 and will update our systems and policies as appropriate. Claims that include deleted CPT and HCPCS codes for dates of service after Dec. 31, 2025 will be denied. The following Point32Health Commercial payment policies and medical necessity guidelines will be updated in the first quarter of 2025 to reflect the 2026 code changes:
- Harvard Pilgrim Non-Covered Services Payment Policy
- Noncovered Investigational Services Medical Necessity Guidelines