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PAYER POLICY CHANGES

76988 Insurance Policy Changes

CPT 76988, in plain terms, covers Intraoperative epicardial heart ultrasound for congenital heart disease, transducer placement and image acquisition only, without interpretation. No tracked policy changes reference CPT 76988 yet. New payer updates are added daily, so check back soon or create a free alert to be notified the moment a change affects this code.

Official descriptor: CPT 76988 on AAPC

No policies yet

No tracked policy changes match this filter yet. New policies are added daily.

Watch 76988

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REFERENCE DATA

Payers with rules1
Payers requiring prior auth1
  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Centene require prior authorization for 76988?

Centene lists 76988 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect CPT 76988?

No policy changes affecting CPT 76988 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 76988?

No payer-specific updates have been tracked for CPT 76988 yet.

How do I get notified when CPT 76988 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 76988. 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 76988?

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 76988

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 76988 in one place.

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