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PAYER POLICY CHANGES

88173 Insurance Policy Changes

CPT 88173, in plain terms, covers A pathologist examines cells collected by needle from a body part and writes a report describing what they found. No tracked policy changes reference CPT 88173 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 88173 on AAPC

No policies yet

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

Watch 88173

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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)

  • 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 88173?

Anthem BCBS lists 88173 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 88173?

CalViva Health lists 88173 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 88173?

Community Health Plan of Imperial Valley lists 88173 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 88173?

No policy changes affecting CPT 88173 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 88173?

No payer-specific updates have been tracked for CPT 88173 yet.

How do I get notified when CPT 88173 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 88173. 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 88173?

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.

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