What insurance policy changes affect CPT 70473?

There are 10 tracked policy changes affecting CPT 70473, including updates from CareSource, Anthem BCBS, Medical Mutual of Ohio. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 70473?

Payers that have issued tracked updates for CPT 70473 include: CareSource, Anthem BCBS, Medical Mutual of Ohio, UnitedHealthcare, Alabama Medicaid, Harvard Pilgrim Health Care, BlueCross BlueShield of South Carolina.

How do I get notified when CPT 70473 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 70473. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 70473?

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.

70473 — A CT scan of the brain and blood vessels using contrast dye injected into your veins.: Insurance Policy Changes

70473 Insurance Policy Changes

CPT 70473, in plain terms, covers A CT scan of the brain and blood vessels using contrast dye injected into your veins. CPT 70473 is referenced in 10 tracked payer policy changes from CareSource, Anthem BCBS, and 5 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 70473 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

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

Anthem BCBS·Effective Nov 1, 2026

Effective November 1, 2026, Carelon Medical Benefits Management is adding 13 new CPT and HCPCS codes across sleep medicine, radiation oncology, radiology, and cardiovascular specialties to the precertification/prior authorization requirement for all Ohio FIDE (Fully Integrated Dual Eligible) plans. Providers must obtain prior authorization before delivering these services or face potential claim denials.

70473 Insurance Policy Changes

[Georgia] Prior Authorization Requirement Update

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

Mutual News May 2026 Newsletter

[Georgia] Prior Authorization Requirement Update

New radiology and cardiology prior authorization codes

Prior Authorization Requirements for 2026 Radiology CPT Codes

[Ohio] Prior Authorization Requirement Update

Point32Health Medical Necessity Guideline updates

New radiology and cardiology prior authorization codes

2026 February Medical Policy Updates