Question 1

What insurance policy changes affect CPT 88361?

Accepted Answer

There are 3 tracked policy changes affecting CPT 88361, including updates from Aetna, Humana, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 88361?

Accepted Answer

Payers that have issued tracked updates for CPT 88361 include: Aetna, Humana, Blue Cross & Blue Shield of Mississippi.

Question 3

How do I get notified when CPT 88361 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 88361. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 88361?

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.

88361 Insurance Policy Changes

Sacituzumab Govitecan-hziy (Trodelvy) (CPB 0971, reviewed 2026-04-24)

Special Stains - Medicare Advantage (Revised)

Immunohistochemistry for Microscopic Evaluation of Breast Cancer