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PAYER POLICY CHANGES

44720 Insurance Policy Changes

CPT 44720, in plain terms, covers Preparing a donor's small intestine and its blood vessels for transplantation into another person. CPT 44720 is referenced in 5 tracked payer policy changes from Capital Blue Cross, Aetna, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 44720 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 44720 on AAPC

Watch 44720

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REFERENCE DATA

Payers with rules10
Payers requiring prior auth10
  • Anthem BCBS · Effective October 19, 2026

    Prior authorization required

    Anthem local precertification/prior authorization list (Colorado | Anthem Blue Cross and Blue Shield | Commercial)

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Elevance Health · Effective February 11, 2026

    Prior authorization required

    List of items and services that require prior authorization (Medicaid GA)

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for 44720?

Ambetter lists 44720 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for 44720?

Anthem BCBS lists 44720 on Anthem local precertification/prior authorization list (Colorado | Anthem Blue Cross and Blue Shield | Commercial) for commercial plans (list dated October 19, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 44720?

CalViva Health lists 44720 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 Capital Blue Cross require prior authorization for 44720?

Capital Blue Cross lists 44720 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

Does Cigna require prior authorization for 44720?

Cigna lists 44720 on Cigna Master Precertification List for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 44720?

There are 5 tracked policy changes affecting CPT 44720, including updates from Capital Blue Cross, Aetna, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 44720?

Payers that have issued tracked updates for CPT 44720 include: Capital Blue Cross, Aetna, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 44720 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 44720. 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 44720?

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 44720

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 44720 in one place.

See every payer rule

RELATED

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