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PAYER POLICY CHANGES

66930 Insurance Policy Changes

CPT 66930, in plain terms, covers Intracapsular removal of a dislocated natural lens, taking out the entire lens with its capsule. CPT 66930 is referenced in 2 tracked payer policy changes from Blue Cross Blue Shield of Rhode Island and Sentara Health Plans. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 66930 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 66930 on AAPC

Watch 66930

Get one email when a payer policy names 66930, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • Anthem BCBS · Effective February 11, 2026

    Prior authorization required

    List of items and services that require prior authorization (Medicare)

  • 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 Anthem BCBS require prior authorization for 66930?

Anthem BCBS lists 66930 on List of items and services that require prior authorization (Medicare) for medicare advantage plans (list dated February 11, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 66930?

CalViva Health lists 66930 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 Community Health Plan of Imperial Valley require prior authorization for 66930?

Community Health Plan of Imperial Valley lists 66930 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.

Does Fidelis Care require prior authorization for 66930?

Fidelis Care lists 66930 on Fidelis Care 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 66930?

There are 2 tracked policy changes affecting CPT 66930, including updates from Blue Cross Blue Shield of Rhode Island, Sentara Health Plans. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 66930?

Payers that have issued tracked updates for CPT 66930 include: Blue Cross Blue Shield of Rhode Island, Sentara Health Plans.

How do I get notified when CPT 66930 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 66930. 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 66930?

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 66930

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 66930 in one place.

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