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PAYER POLICY CHANGES

80506 Insurance Policy Changes

CPT 80506, in plain terms, covers Add-on: Per 30 minutes of pathology clinical consultation time beyond the highest-level consultation code. No tracked policy changes reference CPT 80506 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 80506 on AAPC

No policies yet

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

Watch 80506

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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 80506?

Centene lists 80506 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 80506?

No policy changes affecting CPT 80506 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 80506?

No payer-specific updates have been tracked for CPT 80506 yet.

How do I get notified when CPT 80506 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 80506. 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 80506?

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 80506

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 80506 in one place.

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