High impact
[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management
Anthem BCBS·Effective Nov 1, 2026
CPT 20934, in plain terms, covers A bone graft procedure used to fill a gap or defect in the middle section of a long bone. CPT 20934 is referenced in 1 tracked payer policy change from Anthem BCBS. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 20934 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 20934 on AAPC
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