Start free
PAYER POLICY CHANGES

88172 Insurance Policy Changes

CPT 88172, in plain terms, covers Immediate on-site cytologic look at a fine needle aspirate to judge whether enough diagnostic cells were obtained, counted as the first evaluation episode at each site sampled. No tracked policy changes reference CPT 88172 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 88172 on AAPC

No policies yet

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

Watch 88172

Get one email when a payer policy names 88172, 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
  • Anthem BCBS · Effective September 1, 2026

    Prior authorization required in some cases

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

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 88172?

Anthem BCBS lists 88172 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 CalViva Health require prior authorization for 88172?

CalViva Health lists 88172 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 88172?

Community Health Plan of Imperial Valley lists 88172 on Community Health Plan of Imperial Valley 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 88172?

No policy changes affecting CPT 88172 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 88172?

No payer-specific updates have been tracked for CPT 88172 yet.

How do I get notified when CPT 88172 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 88172. 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 88172?

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 88172

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 88172 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