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PAYER POLICY CHANGES

88380 Insurance Policy Changes

CPT 88380, in plain terms, covers A specialized laser technique that precisely separates and isolates specific cells or tissue samples for laboratory examination. CPT 88380 is referenced in 1 tracked payer policy change from Sentara Health Plans. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 88380 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 88380 on AAPC

Watch 88380

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REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • Anthem BCBS · Effective September 1, 2026

    Prior authorization required in some cases

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

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 88380?

Anthem BCBS lists 88380 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 CountyCare Health Plan require prior authorization for 88380?

CountyCare Health Plan lists 88380 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 88380?

There are 1 tracked policy change affecting CPT 88380, including updates from Sentara Health Plans. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 88380?

Payers that have issued tracked updates for CPT 88380 include: Sentara Health Plans.

How do I get notified when CPT 88380 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 88380. 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 88380?

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 88380

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 88380 in one place.

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