Question 1

What insurance policy changes affect CPT 90845?

Accepted Answer

There are 2 tracked policy changes affecting CPT 90845, including updates from Blue Cross of Idaho. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 90845?

Accepted Answer

Payers that have issued tracked updates for CPT 90845 include: Blue Cross of Idaho.

Question 3

How do I get notified when CPT 90845 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 90845. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 90845?

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.

90845 Insurance Policy Changes

MAPAP111 - Billing Requirements for Federally Qualified Health Centers (FQHCs) - Updated language CCM, VCS, CoCM, and telehealth

MAPAP113 - Billing Requirements for Rural Health Centers (RHCs) - Revised exclusions added