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PAYER POLICY CHANGES

87186 Insurance Policy Changes

CPT 87186 is referenced in 1 tracked payer policy change from Arkansas Blue Cross Blue Shield. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 87186 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules1
Payers requiring prior auth1
  • Anthem BCBS · Effective September 1, 2026

    Prior authorization required in some cases

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

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 87186?

Anthem BCBS lists 87186 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.

What insurance policy changes affect CPT 87186?

There are 1 tracked policy change affecting CPT 87186, including updates from Arkansas Blue Cross Blue Shield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 87186?

Payers that have issued tracked updates for CPT 87186 include: Arkansas Blue Cross Blue Shield.

How do I get notified when CPT 87186 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 87186. 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 87186?

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 87186

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 87186 in one place.

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