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PAYER POLICY CHANGES

87149 Insurance Policy Changes

CPT 87149 is referenced in 2 tracked payer policy changes from Harvard Pilgrim Health Care and Arkansas Blue Cross Blue Shield. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 87149 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch 87149

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REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • Anthem BCBS · Effective September 1, 2026

    Prior authorization required in some cases

    Virginia Local Precertification/Prior Authorization List (HMO & EPO)

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 87149?

Anthem BCBS lists 87149 on Virginia Local Precertification/Prior Authorization List (HMO & EPO) for commercial plans, with conditions (list dated September 1, 2026). Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for 87149?

CountyCare Health Plan lists 87149 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 Florida Blue require prior authorization for 87149?

Florida Blue lists 87149 on Prior Authorization List: HMO – Marketplace Qualified Health Plans for exchange plans (list dated March 27, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 87149?

There are 2 tracked policy changes affecting CPT 87149, including updates from Harvard Pilgrim Health Care, Arkansas Blue Cross Blue Shield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 87149?

Payers that have issued tracked updates for CPT 87149 include: Harvard Pilgrim Health Care, Arkansas Blue Cross Blue Shield.

How do I get notified when CPT 87149 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 87149. 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 87149?

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 87149

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 87149 in one place.

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