Question 1

What insurance policy changes affect CPT 76813?

Accepted Answer

There are 6 tracked policy changes affecting CPT 76813, including updates from Arkansas Medicaid, Aetna, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 76813?

Accepted Answer

Payers that have issued tracked updates for CPT 76813 include: Arkansas Medicaid, Aetna, Blue Cross & Blue Shield of Mississippi, Independence Blue Cross.

Question 3

How do I get notified when CPT 76813 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 76813. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 76813?

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.

76813 Insurance Policy Changes

Limitation Restrictions Removed for Non-Stress Tests and Ultrasounds

Noninvasive Down Syndrome Screening (CPB 0282, reviewed 2026-04-17)

Ultrasound for Pregnancy (CPB 0199, reviewed 2026-03-24)

First-Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers Combined with Maternal Serum Assessment

09.00.36m, First-Trimester Prenatal Screening for Fetal Aneuploidy Using Fetal Ultrasound Markers

09.00.36m, First-Trimester Prenatal Screening for Fetal Aneuploidy Using Fetal Ultrasound Markers