What insurance policy changes affect CPT 76376?

There are 11 tracked policy changes affecting CPT 76376, including updates from Harvard Pilgrim Health Care, Excellus BlueCross BlueShield, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 76376?

Payers that have issued tracked updates for CPT 76376 include: Harvard Pilgrim Health Care, Excellus BlueCross BlueShield, Aetna, Highmark, Humana.

How do I get notified when CPT 76376 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 76376. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 76376?

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.

76376 — A doctor uses special computer software to create a detailed 3D picture from your medical imaging scans and interprets the results.: Insurance Policy Changes

76376 Insurance Policy Changes

CPT 76376, in plain terms, covers A doctor uses special computer software to create a detailed 3D picture from your medical imaging scans and interprets the results. CPT 76376 is referenced in 11 tracked payer policy changes from Harvard Pilgrim Health Care, Excellus BlueCross BlueShield, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 76376 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Positron Emission Tomography (PET) - Non-Oncologic Applications 6.01.07

Excellus BlueCross BlueShield·Effective May 15, 2026

Excellus BlueCross BlueShield has established a comprehensive medical policy for PET imaging in non-oncologic applications, effective May 15, 2026. This policy defines specific clinical criteria and appropriate use for PET/CT imaging across multiple body systems (abdominal, cardiac, chest, musculoskeletal, spine, and vascular) while designating certain uses as not medically appropriate or investigational. Billing teams must ensure prior authorization requests and claims align with the detailed indication-specific criteria outlined in this policy.

76376 Insurance Policy Changes

Billing updates effective Nov. 1, 2026

Positron Emission Tomography (PET) - Non-Oncologic Applications 6.01.07

Positron Emission Tomography (PET) - Non-Oncologic Applications 6.01.07

Breast Biopsy Procedures (CPB 0269, reviewed 2026-05-14)

Endometrial Ablation (CPB 0091, reviewed 2026-03-25)

Lung Imaging: Selected Techniques (CPB 0581, reviewed 2026-02-24)

New and Updated Reimbursement Policies – February 2026

Point32Health Payment Policy updates

Positron Emission Tomography (PET) – Head Imaging 6.01.47

Orthognathic Surgery - Medicare Advantage (Revised)

Vitiligo (CPB 0422, reviewed 2026-07-16)