Question 1

What insurance policy changes affect CPT 28294?

Accepted Answer

There are 1 tracked policy change affecting CPT 28294, including updates from Providence Health Plan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 28294?

Accepted Answer

Payers that have issued tracked updates for CPT 28294 include: Providence Health Plan.

Question 3

How do I get notified when CPT 28294 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 28294. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 28294?

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.

28294 Insurance Policy Changes

Special Alert May 2026 UPDATE - Outpatient Surgical Site of Service Notice