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PAYER POLICY CHANGES

37185 Insurance Policy Changes

CPT 37185, in plain terms, covers Add-on: Percutaneous mechanical clot removal from every further vessel beyond the first in the same session as primary thrombectomy. CPT 37185 is referenced in 1 tracked payer policy change from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 37185 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 37185 on AAPC

Watch 37185

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REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required in some cases

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does CalViva Health require prior authorization for 37185?

CalViva Health lists 37185 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 Community Health Plan of Imperial Valley require prior authorization for 37185?

Community Health Plan of Imperial Valley lists 37185 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 37185?

CountyCare Health Plan lists 37185 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 37185?

There are 1 tracked policy change affecting CPT 37185, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 37185?

Payers that have issued tracked updates for CPT 37185 include: Aetna.

How do I get notified when CPT 37185 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 37185. 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 37185?

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 37185

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 37185 in one place.

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