Question 1

What insurance policy changes affect CPT 64555?

Accepted Answer

There are 7 tracked policy changes affecting CPT 64555, including updates from Blue Cross and Blue Shield of Minnesota, Health Net, Blue Cross NC. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 64555?

Accepted Answer

Payers that have issued tracked updates for CPT 64555 include: Blue Cross and Blue Shield of Minnesota, Health Net, Blue Cross NC, Humana, Harvard Pilgrim Health Care.

Question 3

How do I get notified when CPT 64555 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 64555. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 64555?

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.

64555 Insurance Policy Changes

Upcoming Policies effective September 7, 2026

26-073 Updates to the Prior Authorization Requirements

26-074 Updates to the Prior Authorization Requirements

26-075 Updates to the Prior Authorization Requirements

Medical Policy Update June 10, 2026

Headache and Occipital Neuralgia Treatments - Medicare Advantage (Revised)

Point32Health Medical Necessity Guideline updates