Question 1

What insurance policy changes affect CPT 93797?

Accepted Answer

There are 2 tracked policy changes affecting CPT 93797, including updates from Aetna, Harvard Pilgrim Health Care. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 93797?

Accepted Answer

Payers that have issued tracked updates for CPT 93797 include: Aetna, Harvard Pilgrim Health Care.

Question 3

How do I get notified when CPT 93797 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 93797. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 93797?

Accepted Answer

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.

93797 Insurance Policy Changes

Cardiac Rehabilitation: Outpatient (CPB 0021, reviewed 2026-03-10)

Update: Telehealth flexibilities for Medicare members