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PAYER POLICY CHANGES

00796 Insurance Policy Changes

CPT 00796 is referenced in 1 tracked payer policy change from Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 00796 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules1
Payers requiring prior auth1
  • Anthem BCBS · Effective October 19, 2026

    Prior authorization required

    Anthem local precertification/prior authorization list (Colorado | Anthem Blue Cross and Blue Shield | Commercial)

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 00796?

Anthem BCBS lists 00796 on Anthem local precertification/prior authorization list (Colorado | Anthem Blue Cross and Blue Shield | Commercial) for commercial plans (list dated October 19, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 00796?

There are 1 tracked policy change affecting CPT 00796, including updates from Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 00796?

Payers that have issued tracked updates for CPT 00796 include: Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 00796 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 00796. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 00796?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for 00796

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 00796 in one place.

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