What insurance policy changes affect CPT 93145?

There are 17 tracked policy changes affecting CPT 93145, including updates from Anthem BCBS, Medical Mutual of Ohio, Blue Cross NC. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 93145?

Payers that have issued tracked updates for CPT 93145 include: Anthem BCBS, Medical Mutual of Ohio, Blue Cross NC, Humana, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 93145 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 93145. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 93145?

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.

93145 — Checking your implanted heart device's battery and settings during an office visit without making any adjustments.: Insurance Policy Changes

93145 Insurance Policy Changes

CPT 93145, in plain terms, covers Checking your implanted heart device's battery and settings during an office visit without making any adjustments. CPT 93145 is referenced in 17 tracked payer policy changes from Anthem BCBS, Medical Mutual of Ohio, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 93145 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

[Ohio] Precertification/prior authorization list change notification

Anthem BCBS·Effective Dec 1, 2026

Anthem Blue Cross and Blue Shield (Ohio) is adding 14 new services to its precertification/prior authorization requirements effective December 1, 2026. These additions include four specialized laboratory tests (Alzheimer's biomarkers, IBS serology, infectious disease sequencing, prostate cancer protein biomarkers), two irreversible electroporation procedures, six carotid sinus baroreceptor stimulation device codes, and two gene therapy treatments. All affected services will require prior authorization before billing to avoid claim denials.

93145 Insurance Policy Changes

[Ohio] Precertification/prior authorization requirement changes

[California] Precertification/prior authorization requirement changes

[Virginia] Prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement changes

[Georgia] Precertification/prior authorization list change notification

[California] Prior authorization requirement changes

[California] Prior authorization requirement changes

[New York] Precertification/prior authorization requirement changes

[Ohio] Precertification/prior authorization requirement changes

[Georgia] Precertification/prior authorization requirement changes

[New York] Precertification/prior authorization list change notification

[Virginia] Precertification/prior authorization list change notification

[Ohio] Precertification/prior authorization list change notification

Mutual News May 2026 Newsletter

Medical Policy Update December 31, 2025

Transcatheter and Device-Based Hemodynamic Management Procedures - Medicare Advantage (Revised)

Baroreflex Stimulation Devices