Question 1

What insurance policy changes affect CPT 90961?

Accepted Answer

There are 1 tracked policy change affecting CPT 90961, including updates from Aetna Better Health of Virginia. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 90961?

Accepted Answer

Payers that have issued tracked updates for CPT 90961 include: Aetna Better Health of Virginia.

Question 3

How do I get notified when CPT 90961 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 90961. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 90961?

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.

90961 Insurance Policy Changes

Provider Notification - New Policy Updates - Clinical Payment, Coding, and Policy Changes Effective December 1, 2026