Question 1

What insurance policy changes affect CPT 21199?

Accepted Answer

There are 5 tracked policy changes affecting CPT 21199, including updates from Blue Cross Blue Shield of Rhode Island, PacificSource Health Plans, Oklahoma SoonerCare. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 21199?

Accepted Answer

Payers that have issued tracked updates for CPT 21199 include: Blue Cross Blue Shield of Rhode Island, PacificSource Health Plans, Oklahoma SoonerCare, Humana.

Question 3

How do I get notified when CPT 21199 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 21199. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 21199?

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.

21199 Insurance Policy Changes

Medical policy updates

Medicaid and Commercial Prior Authorization Changes

Provider Letter 2025-09: RE: Aetna Beter Health of Oklahoma’s Implementation of PA Requirements for Specific Codes

Obstructive Sleep Apnea and Other Sleep Related Breathing Disorders Surgical Treatments - Medicare Advantage (Revised)

Orthognathic Surgery - Medicare Advantage (Revised)