What insurance policy changes affect CPT 77387?

There are 7 tracked policy changes affecting CPT 77387, including updates from Arkansas Blue Cross Blue Shield, BCBS Michigan, Nevada Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 77387?

Payers that have issued tracked updates for CPT 77387 include: Arkansas Blue Cross Blue Shield, BCBS Michigan, Nevada Medicaid, UnitedHealthcare, Connecticut Medicaid (HUSKY Health), Blue Cross Blue Shield of Rhode Island.

How do I get notified when CPT 77387 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 77387. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 77387?

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.

77387 — A doctor uses imaging to guide and position radiation therapy beams accurately to target cancer.: Insurance Policy Changes

77387 Insurance Policy Changes

CPT 77387, in plain terms, covers A doctor uses imaging to guide and position radiation therapy beams accurately to target cancer. CPT 77387 is referenced in 7 tracked payer policy changes from Arkansas Blue Cross Blue Shield, BCBS Michigan, and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 77387 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Policy Criteria Change

Arkansas Blue Cross Blue Shield·Effective Sep 1, 2026

Arkansas Blue Cross updated IMRT breast cancer treatment coverage criteria effective 09/01/2026. The policy now specifies that standard whole breast irradiation (WBI) should be 15-16 fractions, with 17-28 fractions allowed only for specific clinical scenarios (nodal involvement, post-mastectomy/reconstruction, dose inhomogeneity, or concurrent chemotherapy). Breast boost limits also changed: up to 8 fractions for patients meeting extended WBI criteria, or up to 5 fractions for others. Billing teams must validate treatment plans against these new criteria to avoid claim denials.

77387 Insurance Policy Changes

Policy Criteria Change

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

Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse), 27 (Radiology and Non-Invasive Diagnostic Centers), and 77 (Physician’s Assistant): Updates to Radiation Therapy Codes

New streamlined radiation therapy prior authorization updates

New streamlined radiation therapy prior authorization updates

2026.30 - Provider Bulletin - Updates to the Independent Radiology and Physician-Radiology Fee Schedules

Payment policy updates