Question 1

What insurance policy changes affect CPT 71260?

Accepted Answer

There are 6 tracked policy changes affecting CPT 71260, including updates from Health Net, Maryland Medicaid, Humana. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 71260?

Accepted Answer

Payers that have issued tracked updates for CPT 71260 include: Health Net, Maryland Medicaid, Humana.

Question 3

How do I get notified when CPT 71260 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 71260. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 71260?

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.

71260 Insurance Policy Changes

26-253 Evolent Removes Prior Authorization for Select Radiology and Cardiology Services

Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative Days

Advanced Imaging of the Chest - Medicare Advantage (Revised)

26-254 Evolent Removes Prior Authorization for Select Radiology and Cardiology Services

26-255 Evolent Removes Prior Authorization for Select Radiology and Cardiology Services

PT 67-26: Medicaid Fee-for-Service Payment of Medically Necessary Ancillaries on Administrative Days