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PAYER POLICY CHANGES

62355 Insurance Policy Changes

CPT 62355, in plain terms, covers Surgical removal of a previously implanted tunneled intrathecal or epidural catheter. CPT 62355 is referenced in 2 tracked payer policy changes from Humana and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 62355 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 62355 on AAPC

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REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Ambetter · Effective December 31, 2025

    Prior authorization required

    Ambetter Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for 62355?

Ambetter lists 62355 on Ambetter Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for 62355?

CountyCare Health Plan lists 62355 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 62355?

There are 2 tracked policy changes affecting CPT 62355, including updates from Humana, 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 62355?

Payers that have issued tracked updates for CPT 62355 include: Humana, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 62355 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 62355. 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 62355?

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 62355

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 62355 in one place.

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