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PAYER POLICY CHANGES

62290 Insurance Policy Changes

CPT 62290, in plain terms, covers Clinician injects contrast into a lumbar disc to image it, reported per level injected. CPT 62290 is referenced in 3 tracked payer policy changes from Blue Cross Blue Shield of Massachusetts and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 62290 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 62290 on AAPC

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • Fidelis Care · Effective November 1, 2026

    Prior authorization required in some cases

    Fidelis Care Metal-Level Products authorization grid

  • Cigna · Effective March 7, 2026

    Prior authorization required

    Cigna Commercial Comprehensive CPT Code Reference for Prior Authorization Across All Programs (EviCore)

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for 62290?

AmeriHealth Caritas lists 62290 on AmeriHealth Caritas Louisiana Act 233 prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for 62290?

Anthem BCBS lists 62290 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does Cigna require prior authorization for 62290?

Cigna lists 62290 on Cigna Master Precertification List for commercial plans, with conditions (list dated October 1, 2026). Verify with the payer before scheduling.

Does Fidelis Care require prior authorization for 62290?

Fidelis Care lists 62290 on Fidelis Care Metal-Level Products authorization grid for exchange plans, with conditions (list dated November 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 62290?

There are 3 tracked policy changes affecting CPT 62290, including updates from Blue Cross Blue Shield of Massachusetts, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 62290?

Payers that have issued tracked updates for CPT 62290 include: Blue Cross Blue Shield of Massachusetts, Aetna.

How do I get notified when CPT 62290 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 62290. 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 62290?

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 62290

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 62290 in one place.

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