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PAYER POLICY CHANGES

91313 Insurance Policy Changes

CPT 91313 is referenced in 2 tracked payer policy changes from Aetna Better Health of Virginia and Wisconsin ForwardHealth. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 91313 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Only a small number of policies match this filter. Check back as coverage expands.

Watch 91313

Get one email when a payer policy names 91313, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

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FREQUENTLY ASKED QUESTIONS

What insurance policy changes affect CPT 91313?

There are 2 tracked policy changes affecting CPT 91313, including updates from Aetna Better Health of Virginia, Wisconsin ForwardHealth. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 91313?

Payers that have issued tracked updates for CPT 91313 include: Aetna Better Health of Virginia, Wisconsin ForwardHealth.

How do I get notified when CPT 91313 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 91313. 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 91313?

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.

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