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PAYER POLICY CHANGES

93287 Insurance Policy Changes

CPT 93287, in plain terms, covers Peri-procedural evaluation and programming of a single, dual, or multiple lead implantable defibrillator, with analysis, review, and report, done around a surgery or procedure. CPT 93287 is referenced in 6 tracked payer policy changes from Premera Blue Cross and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 93287 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 93287 on AAPC

Watch 93287

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • Blue Shield of California · Effective November 1, 2026

    Prior authorization required

    Prior Authorization List for Blue Shield Medicare

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required in some cases

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Blue Shield of California require prior authorization for 93287?

Blue Shield of California lists 93287 on Prior Authorization List for Blue Shield of California for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 93287?

CalViva Health lists 93287 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 93287?

Community Health Plan of Imperial Valley lists 93287 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for 93287?

CountyCare Health Plan lists 93287 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans, with conditions (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 93287?

There are 6 tracked policy changes affecting CPT 93287, including updates from Premera Blue Cross, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 93287?

Payers that have issued tracked updates for CPT 93287 include: Premera Blue Cross, Aetna.

How do I get notified when CPT 93287 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 93287. 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 93287?

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 93287

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 93287 in one place.

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