Question 1

What insurance policy changes affect CPT 91304?

Accepted Answer

There are 1 tracked policy change affecting CPT 91304, including updates from Indiana Medicaid (IHCP). Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 91304?

Accepted Answer

Payers that have issued tracked updates for CPT 91304 include: Indiana Medicaid (IHCP).

Question 3

How do I get notified when CPT 91304 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 91304. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 91304?

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.

91304 Insurance Policy Changes

BT2025101: IHCP to mass adjust or reprocess claims for procedure code 91304 that denied incorrectly