What insurance policy changes affect CPT 19296?

There are 6 tracked policy changes affecting CPT 19296, including updates from Aetna, Independence Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 19296?

Payers that have issued tracked updates for CPT 19296 include: Aetna, Independence Blue Cross.

How do I get notified when CPT 19296 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 19296. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 19296?

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.

19296 — A catheter is placed in the breast to help deliver radiation therapy directly to a specific area.: Insurance Policy Changes

19296 Insurance Policy Changes

CPT 19296, in plain terms, covers A catheter is placed in the breast to help deliver radiation therapy directly to a specific area. CPT 19296 is referenced in 6 tracked payer policy changes from Aetna and Independence Blue Cross. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 19296 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Low impact

09.00.10z, Brachytherapy and Accelerated Whole Breast Irradiation using Three-Dimensional Conformation Radiation Therapy

Independence Blue Cross·Identified Jun 19, 2026

Independence Blue Cross reissued policy 09.00.10z on 06/11/2025 as part of its annual review process. The policy maintains existing coverage for brachytherapy and accelerated whole breast irradiation (AWBI) with no substantive changes to medical necessity criteria, covered procedures, or billing codes. However, the policy now explicitly applies only to members with Independence Administrators as claims administrator and groups NOT enrolled in UM vendor programs; groups with UM vendor enrollment are excluded upon renewal.

19296 Insurance Policy Changes

Brachytherapy (CPB 0371, reviewed 2026-05-20)

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

09.00.56w, Radiation Therapy Services (Independence)

09.00.10aa, Brachytherapy and Accelerated Whole Breast Irradiation using Three-Dimensional Conformation Radiation Therapy

09.00.10aa, Brachytherapy and Accelerated Whole Breast Irradiation using Three-Dimensional Conformation Radiation Therapy (Independence Administrators)

09.00.10z, Brachytherapy and Accelerated Whole Breast Irradiation using Three-Dimensional Conformation Radiation Therapy