OSP News

Priority Health 2025 Medical Policy Updates

Posted: 11/26/2025

Priority Health’s Medical Affairs Committee (MAC), comprised of Priority Health network physicians, met in November and approved a series of medical policy updates. Below is a list of the policies that were updated. For a breakdown of the changes made to each policy, see the medical policy changes page in the Provider Manual found on Priority Health’s website.

  • Allergy Testing (#91037)
  • Breast Related Procedures (#91545)
  • Continuous Glucose Monitoring (#91466)
  • Cosmetic and Reconstructive Surgical Procedures (#91535)
  • Drug Testing (#91611)
  • Durable Medical Equipment (#91526)
  • Electrophysiology Testing & Catheter Ablation for Cardiac Arrhythmias (#91314)
  • End Stage Renal Disease (#91526)
  • Gender Affirming Surgery (#91612)
  • Infectious Disease Molecular Panel (#91643)
  • Markers for Digestive Disorders (#91583)
  • Medical Errors: Serious Reportable Events / Hospital Acquired Conditions (#91516)
  • Platelet Rich Plasma / Platelet Rich Fibrin Matrix / Autologous Blood-Derived Products / BMAC (#91533)
  • Surgical Treatment of Obesity (#91595)
  • Telemonitoring / Remote Monitoring (#91604)
  • Thyroid-related Procedures (#91621)
  • Vision Care (#91538)

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