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PAYER POLICY CHANGES

90288 Insurance Policy Changes

CPT 90288 is referenced in 3 tracked payer policy changes from Aetna and Excellus BlueCross BlueShield. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 90288 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch 90288

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REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • Fidelis Care · Effective December 31, 2025

    Prior authorization required

    Fidelis Care CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for 90288?

AmeriHealth Caritas lists 90288 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Fidelis Care require prior authorization for 90288?

Fidelis Care lists 90288 on Fidelis Care 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 90288?

There are 3 tracked policy changes affecting CPT 90288, including updates from Aetna, Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 90288?

Payers that have issued tracked updates for CPT 90288 include: Aetna, Excellus BlueCross BlueShield.

How do I get notified when CPT 90288 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 90288. 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 90288?

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 90288

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 90288 in one place.

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