Question 1

What insurance policy changes affect CPT 90173?

Accepted Answer

There are 2 tracked policy changes affecting CPT 90173, including updates from Maryland Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 90173?

Accepted Answer

Payers that have issued tracked updates for CPT 90173 include: Maryland Medicaid.

Question 3

How do I get notified when CPT 90173 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 90173. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 90173?

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.

90173 Insurance Policy Changes

Proposed Amendments to COMAR 10.09.02 Physicians'' Services

General Provider Transmittal