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PAYER POLICY CHANGES

36215 Insurance Policy Changes

CPT 36215, in plain terms, covers Selective catheter placement into a first-order thoracic or brachiocephalic branch off the aortic arch, such as the brachiocephalic, left common carotid or left subclavian artery, per vascular family. CPT 36215 is referenced in 3 tracked payer policy changes from UnitedHealthcare. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 36215 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 36215 on AAPC

Watch 36215

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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 36215?

Ambetter lists 36215 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 36215?

CalViva Health lists 36215 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 36215?

Centene lists 36215 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 36215?

Community Health Plan of Imperial Valley lists 36215 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 36215?

CountyCare Health Plan lists 36215 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 36215?

There are 3 tracked policy changes affecting CPT 36215, including updates from UnitedHealthcare. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 36215?

Payers that have issued tracked updates for CPT 36215 include: UnitedHealthcare.

How do I get notified when CPT 36215 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 36215. 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 36215?

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 36215

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 36215 in one place.

See every payer rule

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