Question 1

What insurance policy changes affect CPT 76642?

Accepted Answer

There are 5 tracked policy changes affecting CPT 76642, including updates from Humana, Aetna, Blue Cross Blue Shield of Rhode Island. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 76642?

Accepted Answer

Payers that have issued tracked updates for CPT 76642 include: Humana, Aetna, Blue Cross Blue Shield of Rhode Island, NY Medicaid.

Question 3

How do I get notified when CPT 76642 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 76642. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 76642?

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.

76642 Insurance Policy Changes

Breast Imaging - Medicare Advantage (Revised)

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

Payment Policy Updates

Breast Imaging - Medicare Advantage (Revised)

New York State Medicaid Coverage of Breast Cancer Screening, Imaging, and Testing for Management and Treatment