What insurance policy changes affect CPT 77295?

There are 11 tracked policy changes affecting CPT 77295, including updates from BCBS Michigan, Humana, Independence Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 77295?

Payers that have issued tracked updates for CPT 77295 include: BCBS Michigan, Humana, Independence Blue Cross, Aetna.

How do I get notified when CPT 77295 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 77295. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 77295?

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.

77295 — A detailed 3D computer model created to map out exactly where radiation will be aimed during cancer treatment.: Insurance Policy Changes

77295 Insurance Policy Changes

CPT 77295, in plain terms, covers A detailed 3D computer model created to map out exactly where radiation will be aimed during cancer treatment. CPT 77295 is referenced in 11 tracked payer policy changes from BCBS Michigan, Humana, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 77295 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

09.00.56w, Radiation Therapy Services (Independence)

Independence Blue Cross·Effective Feb 25, 2026

Independence Blue Cross updated policy 09.00.56w to align with revised EviCore Radiation Oncology Clinical Guidelines effective 02/25/2026. A substantial list of 57 new CPT and HCPCS codes has been added to Attachment A, expanding covered radiation therapy services including advanced techniques (IMRT, SBRT, SRS, proton therapy, brachytherapy) and radiolabeled drugs. Billing teams must update systems to recognize these newly covered codes and ensure claims are submitted with proper medical necessity documentation per eviCore guidelines.

77295 Insurance Policy Changes

Radiation oncology and radiopharmaceutical procedure codes to be managed through the Oncology Value Management program

Superficial Radiation Therapy - Medicare Advantage (Revised)

09.00.56w, Radiation Therapy Services (Independence)

Brentuximab Vedotin (Adcetris) (CPB 0823, reviewed 2026-02-24)

Superficial Radiation Therapy - Medicare Advantage (Revised)

Intensity Modulated Radiation Therapy - Medicare Advantage (Revised)

Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy - Medicare Advantage (Revised)

09.00.49o, Proton Beam Radiation Therapy (Independence Administrators)

09.00.49o, Proton Beam Radiation Therapy (Independence Administrators)

09.00.17q, Intensity-Modulated Radiation Therapy (IMRT) (Independence Administrators)

09.00.49p, Proton Beam Radiation Therapy (Independence Administrators)