Question 1

What insurance policy changes affect CPT 90836?

Accepted Answer

There are 7 tracked policy changes affecting CPT 90836, including updates from CareSource, Nebraska Medicaid, Maryland Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 90836?

Accepted Answer

Payers that have issued tracked updates for CPT 90836 include: CareSource, Nebraska Medicaid, Maryland Medicaid, SC Medicaid - SCDHHS, Harvard Pilgrim Health Care, Connecticut Medicaid (HUSKY Health), SelectHealth.

Question 3

How do I get notified when CPT 90836 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 90836. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 90836?

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.

90836 Insurance Policy Changes

[Ohio] Evaluation and Management (E/M) and Psychotherapy Add-On Billing Policy

Billing changes and clarifications for Crisis Intervention Mental Health and Social Detoxification services

PT 66-26: Federally Qualified Health Center and Rural Health Center Coding Guidelines

Rehabilitative Behavioral Health and Substance Use Services Rate Increases

Billing updates for mental health centers

Clarification on Updates to Fee Schedules and Rate Increases for Select Behavioral Health Services

February 2026