45386 Insurance Policy Changes

CPT 45386, in plain terms, covers A procedure where doctors use a viewing tube to examine your colon and then expand a narrow area using a small balloon. CPT 45386 is referenced in 2 tracked payer policy changes from Aetna and Cigna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 45386 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 45386 on AAPC