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PAYER POLICY CHANGES

62370 Insurance Policy Changes

CPT 62370, in plain terms, covers Electronic analysis of an implanted spinal drug pump with reprogramming and refill requiring physician or qualified professional skill. CPT 62370 is referenced in 1 tracked payer policy change from Capital Blue Cross. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 62370 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 62370 on AAPC

Watch 62370

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • Arizona Complete Health · Effective December 31, 2025

    Prior authorization required

    Arizona Complete Health CMS-0057-F prior authorization requirements

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Arizona Complete Health require prior authorization for 62370?

Arizona Complete Health lists 62370 on Arizona Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 62370?

CalViva Health lists 62370 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 62370?

Capital Blue Cross lists 62370 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 62370?

Community Health Plan of Imperial Valley lists 62370 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect CPT 62370?

There are 1 tracked policy change affecting CPT 62370, including updates from Capital Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 62370?

Payers that have issued tracked updates for CPT 62370 include: Capital Blue Cross.

How do I get notified when CPT 62370 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 62370. 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 62370?

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 62370

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 62370 in one place.

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