78290 Insurance Policy Changes

CPT 78290, in plain terms, covers A scan that takes pictures of your small and large intestines to check for blockages, bleeding, or other problems. CPT 78290 is referenced in 2 tracked payer policy changes from Highmark and Blue Cross Blue Shield of Rhode Island. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 78290 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 78290 on AAPC