Start free
PAYER POLICY CHANGES

78399 Insurance Policy Changes

CPT 78399 is referenced in 2 tracked payer policy changes from UnitedHealthcare and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 78399 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch 78399

Get one email when a payer policy names 78399, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

No account needed. We send a confirmation link first, and every email has a one-click stop link.

REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Fidelis Care · Effective December 31, 2025

    Prior authorization required

    Fidelis Care CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for 78399?

AmeriHealth Caritas lists 78399 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for 78399?

CountyCare Health Plan lists 78399 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

Does Fidelis Care require prior authorization for 78399?

Fidelis Care lists 78399 on Fidelis Care 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 78399?

There are 2 tracked policy changes affecting CPT 78399, including updates from UnitedHealthcare, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 78399?

Payers that have issued tracked updates for CPT 78399 include: UnitedHealthcare, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 78399 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 78399. 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 78399?

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 78399

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 78399 in one place.

See every payer rule

RELATED

All billing codesJ3590C9399J3490992159921399202

Get alerts for changes like this

Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.

Create a free alertHow Policy Monitoring works