Question 1

What insurance policy changes affect CPT 27138?

Accepted Answer

There are 3 tracked policy changes affecting CPT 27138, including updates from Sentara Health Plans, Humana, Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 27138?

Accepted Answer

Payers that have issued tracked updates for CPT 27138 include: Sentara Health Plans, Humana, Excellus BlueCross BlueShield.

Question 3

How do I get notified when CPT 27138 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 27138. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 27138?

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.

27138 Insurance Policy Changes

Medical and Clinical Policy Updates - Effective October 1, 2026

Hip Arthroplasty - Medicare Advantage (Revised)

Hip Arthroplasty 7.01.96