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PAYER POLICY CHANGES

35500 Insurance Policy Changes

CPT 35500, in plain terms, covers Add-on for harvesting one segment of upper extremity vein to serve as the conduit in a leg or coronary bypass, billed with the bypass procedure. No tracked policy changes reference CPT 35500 yet. New payer updates are added daily, so check back soon or create a free alert to be notified the moment a change affects this code.

Official descriptor: CPT 35500 on AAPC

No policies yet

No tracked policy changes match this filter yet. New policies are added daily.

Watch 35500

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REFERENCE DATA

Payers with rules5
Payers requiring prior auth5
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required in some cases

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Ambetter · Effective December 31, 2025

    Prior authorization required

    Ambetter Health of Delaware CMS-0057-F prior authorization requirements

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for 35500?

Ambetter lists 35500 on Ambetter Health of Delaware CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 35500?

CalViva Health lists 35500 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Centene require prior authorization for 35500?

Centene lists 35500 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 35500?

Community Health Plan of Imperial Valley lists 35500 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for 35500?

CountyCare Health Plan lists 35500 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans, with conditions (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 35500?

No policy changes affecting CPT 35500 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 35500?

No payer-specific updates have been tracked for CPT 35500 yet.

How do I get notified when CPT 35500 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 35500. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 35500?

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.

See every payer rule for 35500

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 35500 in one place.

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RELATED

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