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PAYER POLICY CHANGES

75820 Insurance Policy Changes

CPT 75820, in plain terms, covers Radiologic supervision and interpretation of contrast imaging of the veins in one arm or one leg on a single side. CPT 75820 is referenced in 1 tracked payer policy change from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 75820 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 75820 on AAPC

Watch 75820

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required in some cases

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • 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 CalViva Health require prior authorization for 75820?

CalViva Health lists 75820 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 Capital Blue Cross require prior authorization for 75820?

Capital Blue Cross lists 75820 on Capital Blue Cross single source preauthorization code list for commercial plans, with conditions. Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 75820?

Community Health Plan of Imperial Valley lists 75820 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 CountyCare Health Plan require prior authorization for 75820?

CountyCare Health Plan lists 75820 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans, with conditions (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 75820?

There are 1 tracked policy change affecting CPT 75820, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 75820?

Payers that have issued tracked updates for CPT 75820 include: Aetna.

How do I get notified when CPT 75820 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 75820. 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 75820?

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 75820

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 75820 in one place.

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