Question 1

What insurance policy changes affect CPT 61626?

Accepted Answer

There are 3 tracked policy changes affecting CPT 61626, including updates from Aetna, Independence Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 61626?

Accepted Answer

Payers that have issued tracked updates for CPT 61626 include: Aetna, Independence Blue Cross.

Question 3

How do I get notified when CPT 61626 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 61626. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 61626?

Accepted Answer

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.

61626 Insurance Policy Changes

Embolization: Selected Procedures (CPB 0856, reviewed 2026-01-12)

MA03.003r, Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service

03.00.06ad, Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service