Question 1

What insurance policy changes affect CPT 87391?

Accepted Answer

There are 5 tracked policy changes affecting CPT 87391, including updates from Aetna, Health Net. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 87391?

Accepted Answer

Payers that have issued tracked updates for CPT 87391 include: Aetna, Health Net.

Question 3

How do I get notified when CPT 87391 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 87391. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 87391?

Accepted Answer

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.

87391 Insurance Policy Changes

HIV Testing (CPB 0542, reviewed 2025-11-26)

Marnetegragene Autotemcel (Kresladi) (CPB 1102, reviewed 13-2026-07)

25-913 Bill Correctly for HIV Pre-exposure Prophylaxis (PrEP)

25-914 Bill Correctly for HIV Pre-exposure Prophylaxis (PrEP)

25-915 Bill Correctly for HIV Pre-exposure Prophylaxis (PrEP)