Question 1

What insurance policy changes affect CPT 19086?

Accepted Answer

There are 3 tracked policy changes affecting CPT 19086, including updates from Aetna, NY Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 19086?

Accepted Answer

Payers that have issued tracked updates for CPT 19086 include: Aetna, NY Medicaid.

Question 3

How do I get notified when CPT 19086 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 19086. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 19086?

Accepted Answer

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.

19086 Insurance Policy Changes

Magnetic Resonance Imaging (MRI) of the Breast (CPB 0105, reviewed 2026-08-06)

Breast Biopsy Procedures (CPB 0269, reviewed 2026-05-14)

New York State Medicaid Coverage of Breast Cancer Screening, Imaging, and Testing for Management and Treatment