Question 1

What insurance policy changes affect CPT 19301?

Accepted Answer

There are 4 tracked policy changes affecting CPT 19301, including updates from Blue Cross Blue Shield of North Dakota, EmblemHealth, Healthfirst. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 19301?

Accepted Answer

Payers that have issued tracked updates for CPT 19301 include: Blue Cross Blue Shield of North Dakota, EmblemHealth, Healthfirst, Humana.

Question 3

How do I get notified when CPT 19301 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 19301. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 19301?

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.

19301 Insurance Policy Changes

Medical Policy Updates

Restricted Breast Cancer Surgery Facilities

NYS Medicaid Breast Cancer Selective Program Reimbursement Policy

Breast Excision and Mastectomy - Medicare Advantage (Revised)