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PAYER POLICY CHANGES

93571 Insurance Policy Changes

CPT 93571, in plain terms, covers Add-on for intravascular Doppler velocity or pressure coronary flow reserve measurement, initial vessel, reported in addition to the primary procedure. CPT 93571 is referenced in 1 tracked payer policy change from Indiana Medicaid (IHCP). For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 93571 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 93571 on AAPC

Watch 93571

Get one email when a payer policy names 93571, 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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REFERENCE DATA

Payers with rules5
Payers requiring prior auth5
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Ambetter · Effective December 31, 2025

    Prior authorization required

    Ambetter Health of Delaware CMS-0057-F prior authorization requirements

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for 93571?

Ambetter lists 93571 on Ambetter Health of Delaware CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 93571?

CalViva Health lists 93571 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 Centene require prior authorization for 93571?

Centene lists 93571 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 Community Health Plan of Imperial Valley require prior authorization for 93571?

Community Health Plan of Imperial Valley lists 93571 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 93571?

CountyCare Health Plan lists 93571 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 93571?

There are 1 tracked policy change affecting CPT 93571, including updates from Indiana Medicaid (IHCP). Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 93571?

Payers that have issued tracked updates for CPT 93571 include: Indiana Medicaid (IHCP).

How do I get notified when CPT 93571 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 93571. 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 93571?

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 93571

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 93571 in one place.

See every payer rule

RELATED

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