74261 Insurance Policy Changes

CPT 74261, in plain terms, covers A CT scan of your colon used to detect and diagnose potential problems like polyps or cancer. CPT 74261 is referenced in 2 tracked payer policy changes from Excellus BlueCross BlueShield and Cigna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 74261 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 74261 on AAPC