What insurance policy changes affect CPT 64728?

There are 11 tracked policy changes affecting CPT 64728, including updates from CareSource, Anthem BCBS, Humana. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 64728?

Payers that have issued tracked updates for CPT 64728 include: CareSource, Anthem BCBS, Humana, Regence BlueShield.

How do I get notified when CPT 64728 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 64728. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 64728?

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.

64728 — A procedure to relieve pressure on the median nerve in the wrist tunnel by making it larger.: Insurance Policy Changes

64728 Insurance Policy Changes

CPT 64728, in plain terms, covers A procedure to relieve pressure on the median nerve in the wrist tunnel by making it larger. CPT 64728 is referenced in 11 tracked payer policy changes from CareSource, Anthem BCBS, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 64728 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

[Georgia] Prior Authorization Requirement Update

CareSource·Effective Aug 1, 2026

CareSource Georgia Medicaid is requiring prior authorization for 90+ new codes across multiple categories including durable medical equipment, hearing services, inpatient facility services, and outpatient diagnostics/services, effective August 1, 2026. Prior authorization will be mandatory for all nonparticipating providers and inpatient service requests.

64728 Insurance Policy Changes

[Georgia] Prior Authorization Requirement Update

[Ohio] Precertification/prior authorization requirement changes

[California] Precertification/prior authorization requirement changes

[Virginia] Prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement changes

[California] Prior authorization requirement changes

[New York] Precertification/prior authorization requirement changes

[Ohio] Precertification/prior authorization requirement changes

[Georgia] Precertification/prior authorization requirement changes

Carpal Tunnel Syndrome Surgical Treatments - Medicare Advantage (Revised)

Ultrasound-Guided Percutaneous Needle Release for the Treatment of Carpal Tunnel Syndrome