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PAYER POLICY CHANGES

93572 Insurance Policy Changes

CPT 93572, in plain terms, covers Add-on for intravascular Doppler velocity or pressure-wire measurement of coronary flow reserve in every further vessel beyond the first, billed with the primary intracoronary measurement code. No tracked policy changes reference CPT 93572 yet. New payer updates are added daily, so check back soon or create a free alert to be notified the moment a change affects this code.

Official descriptor: CPT 93572 on AAPC

No policies yet

No tracked policy changes match this filter yet. New policies are added daily.

Watch 93572

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REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • 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

  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for 93572?

Ambetter lists 93572 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 Centene require prior authorization for 93572?

Centene lists 93572 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 CountyCare Health Plan require prior authorization for 93572?

CountyCare Health Plan lists 93572 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 93572?

No policy changes affecting CPT 93572 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 93572?

No payer-specific updates have been tracked for CPT 93572 yet.

How do I get notified when CPT 93572 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 93572. 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 93572?

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 93572

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 93572 in one place.

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