What insurance policy changes affect CPT 64568?

There are 10 tracked policy changes affecting CPT 64568, including updates from Anthem BCBS, Medical Mutual of Ohio, Health Net. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 64568?

Payers that have issued tracked updates for CPT 64568 include: Anthem BCBS, Medical Mutual of Ohio, Health Net, Blue Cross Blue Shield of Rhode Island, Humana, Nevada Medicaid, Medicare/CMS, Kansas Medicaid (KanCare).

How do I get notified when CPT 64568 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 64568. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 64568?

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.

64568 — Surgically placing an implant device near the cranial nerve to help manage chronic pain through electrical stimulation.: Insurance Policy Changes

64568 Insurance Policy Changes

CPT 64568, in plain terms, covers Surgically placing an implant device near the cranial nerve to help manage chronic pain through electrical stimulation. CPT 64568 is referenced in 10 tracked payer policy changes from Anthem BCBS, Medical Mutual of Ohio, and 6 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 64568 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

Attention Provider Types 10 (Outpatient Surgery, Hospital Based), 12 (Hospital, Outpatient), and 46 (Ambulatory Surgical Centers): Procedure Codes C1767 and C1778 Opened for Billing

Nevada Medicaid·Effective Mar 1, 2026

Nevada Medicaid now allows billing for vagus nerve stimulation (VNS) therapy device codes C1767 and C1778 for refractory epilepsy treatment by outpatient surgery centers, hospitals, and ambulatory surgical centers. These devices will be reimbursed at 82% of acquisition cost and require prior authorization plus specific refractory epilepsy diagnosis codes.

64568 Insurance Policy Changes

[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

Mutual News May 2026 Newsletter

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 updates

Obstructive Sleep Apnea and Other Sleep Related Breathing Disorders Surgical Treatments - Medicare Advantage (Revised)

Attention Provider Types 10 (Outpatient Surgery, Hospital Based), 12 (Hospital, Outpatient), and 46 (Ambulatory Surgical Centers): Procedure Codes C1767 and C1778 Opened for Billing

2026-01-22 - DMEPOS: Updated List of Items Potentially Subject to Conditions of Payment

KMAP BULLETIN: Rate Increase for Vagus Nerve Stimulation