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PAYER POLICY CHANGES

15770 Insurance Policy Changes

CPT 15770, in plain terms, covers Surgeon harvests a combined graft of dermis, fat, and fascia from a donor site and places it in the recipient area as a single autologous piece. CPT 15770 is referenced in 2 tracked payer policy changes from Excellus BlueCross BlueShield and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 15770 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 15770 on AAPC

Watch 15770

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REFERENCE DATA

Payers with rules7
Payers requiring prior auth7
  • Blue Shield of California · Effective November 1, 2026

    Prior authorization required

    Prior Authorization List for Blue Shield Medicare

  • Fidelis Care · Effective November 1, 2026

    Prior authorization required in some cases

    Fidelis Care Metal-Level Products authorization grid

  • 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 AmeriHealth Caritas require prior authorization for 15770?

AmeriHealth Caritas lists 15770 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for 15770?

Anthem BCBS lists 15770 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.

Does Blue Shield of California require prior authorization for 15770?

Blue Shield of California lists 15770 on Prior Authorization List for Blue Shield of California for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 15770?

CalViva Health lists 15770 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Colorado Medicaid require prior authorization for 15770?

Colorado Medicaid lists 15770 on Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column) for medicaid ffs plans (list dated July 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 15770?

There are 2 tracked policy changes affecting CPT 15770, including updates from Excellus BlueCross BlueShield, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 15770?

Payers that have issued tracked updates for CPT 15770 include: Excellus BlueCross BlueShield, Aetna.

How do I get notified when CPT 15770 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 15770. 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 15770?

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 15770

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 15770 in one place.

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