Start free
PAYER POLICY CHANGES

17003 Insurance Policy Changes

CPT 17003, in plain terms, covers Add-on for each premalignant lesion destroyed, second through fourteenth, reported per lesion with the first-lesion code. CPT 17003 is referenced in 12 tracked payer policy changes from Capital Blue Cross, Independence Blue Cross, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 17003 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 17003 on AAPC

Watch 17003

Get one email when a payer policy names 17003, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

No account needed. We send a confirmation link first, and every email has a one-click stop link.

REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does CalViva Health require prior authorization for 17003?

CalViva Health lists 17003 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 Community Health Plan of Imperial Valley require prior authorization for 17003?

Community Health Plan of Imperial Valley lists 17003 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect CPT 17003?

There are 12 tracked policy changes affecting CPT 17003, including updates from Capital Blue Cross, Independence Blue Cross, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 17003?

Payers that have issued tracked updates for CPT 17003 include: Capital Blue Cross, Independence Blue Cross, Aetna, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 17003 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 17003. 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 17003?

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 17003

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 17003 in one place.

See every payer rule

RELATED

All billing codesJ3590C9399J3490992159921399202

Get alerts for changes like this

Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.

Create a free alertHow Policy Monitoring works