Lung Biopsy and Resection - Medicare Advantage

This Humana Medicare Advantage medical coverage article states that lung biopsy and lung resection are covered when they are reasonable and necessary for diagnosis or treatment, and may be performed via thoracotomy or thoracoscopy. Coverage is determined per Medicare's reasonable and necessary standard (and Humana may consult MCG Guidelines); services not meeting that standard or excluded under 42 CFR § 411.15 are not covered. CPT codes are provided for informational purposes only and do not guarantee coverage.

"A lung biopsy is a surgical procedure in which a small portion of the lung tissue is removed for diagnostic evaluation."

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