Start free
PAYER POLICY CHANGES

93151 Insurance Policy Changes

CPT 93151, in plain terms, covers Checking and adjusting the settings of an implanted phrenic nerve stimulator for central sleep apnea, outside a sleep study. CPT 93151 is referenced in 4 tracked payer policy changes from Humana and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 93151 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 93151 on AAPC

Watch 93151

Get one email when a payer policy names 93151, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

No account needed. We send a confirmation link first, and every email has a one-click stop link.

REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • Elevance Health · Effective February 11, 2026

    Prior authorization required

    List of items and services that require prior authorization (Elevance CMS-0057-F list)

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 93151?

Anthem BCBS lists 93151 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for 93151?

BCBS Michigan lists 93151 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does Centene require prior authorization for 93151?

Centene lists 93151 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Elevance Health require prior authorization for 93151?

Elevance Health lists 93151 on List of items and services that require prior authorization (Elevance CMS-0057-F list) for medicare advantage plans (list dated February 11, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 93151?

There are 4 tracked policy changes affecting CPT 93151, including updates from Humana, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 93151?

Payers that have issued tracked updates for CPT 93151 include: Humana, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 93151 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 93151. 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 93151?

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.

See every payer rule for 93151

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 93151 in one place.

See every payer rule

RELATED

All billing codesJ3590C9399J3490992159921399202

Get alerts for changes like this

Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.

Create a free alertHow Policy Monitoring works